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TPA Solutions

Leverage the power Medusind to perform key business processes, better and faster at a lower cost for your TPA.

From small local based TPA firms to the nation’s largest publicly traded TPA organizations, Medusind provides a comprehensive array of services and workflow processes that deliver uncompromising value and sustainable cost savings. Our high performance approach to outsourcing brings improved methodologies, state-of-the-art IT infrastructures and a knowledgeable staff made available through a world-class global shared service center.

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Put our expertise to work for your TPA…

  • Medical Bill Review
  • Physical Therapy Case Tracking
  • Electronic Data Interchange
  • Lockbox Posting Process
  • Validations Process
  • UM Intake Process
  • UB-04 Hospital Bill Review
  • W9 Approval Process
  • CMS 1500 Bill Review
  • Transaction Report Management
  • Refunds Management
  • Field Case Management Referrals Intake
  • Pharmacy Claims Intake
  • Provider Panel Verification
  • AR Collections Support / Old A/R Analysis
  • Wall Card Generation

Schedule A Consultation

Contact us to schedule a consultation and learn more about how Medusind can optimize your TPA operations.

Explore Our TPA Solutions…

Clinical/Physical Case Review
  • Physical Therapy Reviews
  • Medical Abstracts
  • Clinical Case Reviews
Medical Bill Review Services
  • Medical Bill Review
  • MBR Validation
  • Claims Digitization
Cost Containment Services
  • Vendor Management
  • Online Document Management
  • Case Management Report
  • Document Upload
Financial/Accounting Processes
  • Lockbox /Cash Posting
  • Refunds Management
  • Accounts Receivables Support
  • Claims Re-pricing and Negotiations
Provider Relations & Networks
  • Wall Card Generation
  • Provider Nomination Process
  • Networks Manual Pricing
  • Provider Panel DB management
  • Provider Credentialing
Utilization Management & Intake Department Services
  • Pharmacy Claims Intake
  • Field Case Management Intake
  • Utilization Management
  • DME Intake
Contact Us to Learn More