Services

Our TPA Services

Comprehensive and customizable solution tailored to meet specific client needs.

Smart Outsourcing for Insurance Transform your operations with our tailored outsourcing solutions and TPA services. We specialize in supporting General & Life Insurance companies, self-insured businesses, streamlining processes, optimizing staff benefits, and boosting overall efficiency.

Call to ask any question (+855) 086 989 000

Cashless Service

Access our wide network of healthcare providers across Cambodia effortlessly with our cashless service. No physical cards or upfront payments are required.

24/7 Customer Service

Our dedicated support team is available 24/7 by phone to promptly assist with any member needs or questions.

Pre-arrangement Service

Members receive assistance in planning and organizing healthcare needs in advance, benefiting from personalized support and expert advice. This proactive approach ensures a smoother process and a more seamless experience when medical care is required.

Operation System

Efficiently manage data with our system, which automatically imports and updates member information within one business day of receiving it in the standard format.

Claim Adjudication & Administration

We handle the review and assessment of medical and flexible benefits claims according to the terms specified in the benefit plan, ensuring accurate and fair processing.

Intelligent System & Report

Daily Reports: Get automatic text file updates at the end of each day. Monthly Reports: Access detailed claim summaries in Excel format monthly. Data Analytics Dashboard: Utilize near real-time insights with our advanced analytics tools.

Payment Service

We prioritize efficiency by processing healthcare claims quickly and ensuring timely payments to both members and providers.

TPA Smart Tech Solution

TPA Care Mobile App: Conveniently check coverage plan and claim history. e-Claim Service: Easily submit and track claims online for a simplified process.