Payers - MDabroad | The International Medical Claims Manager

Cost Containment

Services for Healthcare Insurers and TPAs
MDabroad is a leader in the TPA space in the Americas. With a local presence in the US for nearly two decades, we have earned the trust and relationships of the facilities and providers that are most commonly chosen by the international patient market. Serving expatriates and travelers globally, we have the human resources and technology to connect payers, providers and patients, enabling direct access to a large network of providers, in addition to our white glove service and 24/7 Assistance.
Our assistance service delivers a reliable member experience, powered by a rich platform of web and mobile based solutions for clients and members. MDabroad operates a Secure and Compliant Platform to transmit patient data and sensitive financial information for eligibility, GOPs, extensions, medical reports, invoicing claims settlement service. We deliver transparency and bespoke solutions for our clients to mitigate losses, drive patients to the most cost-effective networks and minimize utilization.

24/7 Assistance Services

MDabroad's assistance services are mullti-faceted, Many travelers are rarely prepared for illness while abroad for work and pleasure. Furthermore, they are unable to predict the many challenges they will face when navigating through foreign medical systems. This places travelers in a highly vulnerable position with regard to their medical well-being, both in minor and complex medical conditions. It is critical to manage health conditions appropriately and in a timely manner to minimize risk and costs while traveling abroad.

The ability to respond to these risks can make all the difference between reasonable and customary charges and grossly inflated charges. MDabroad offers comprehensive assistance Services which ensure immediate access to medical guidance and care. MDabroad can assist travelers all over the globe with an exclusive network of the most highly credentialed providers, for both outpatient and inpatient care. MDabroad offers unique packages to support the unique needs of travelers in any part of the world. Our integrated packages include travel assistance Services before, during, and upon return. We extend travel preparation Services, so they are informed of potential health risks prior to travel.

Services we provide:

Medical Assistance
• Coordination of outpatient and/or inpatient care for any medical condition
• Telemedicine (for a list of the countries where available, click here)
• House calls
• Dental services
• Medical evacuations & repatriations

Technical & Personal Travel Assistance
• Tracking of lost luggage and concierge services
• Cash advance
• Assistance in case of lost and/or stolen travel documentation
• Reservation of air tickets and hotels
• Transmission of urgent messages to family in case of medical or legal emergencies

Legal Referral
• Access to legal counsel whenever the traveler is being pressed with charges or was involved in an accident.
• This service also provides advocacy with the traveler’s consular authorities locally.

Cost Management
• US Claims are placed through direct agreements and Aetna Passport Health.
• On critical care cases, we deploy immediate resources, coordination of specialists and immediate response teams.
• Fraud control and auditing. Using local resources worldwide, we pay in local currency through our own staff, avoiding manipulation of pharmacy and consultation prices.

Proactive cost containment in US hospitals.
• We deploy a network of hospitalists who manage care within the hospital setting on a proactive basis, as opposed to traditional case management and audit that happens after the fact.

Pharmacy
• Discount programs to our clients’ members.

Most important of all, MDabroad provides travelers with 24/7 access to a network of the world’s best providers. One call to MDabroad connects travelers to our doctors, nurses, and patient advocates.

24/7 Case Handling

We handle cases for the world’s most renowned insurance and traveler’s assistance companies.

Worldwide Access

We complement in-house provider network administration areas of payers and third-party administrators.

Claims Management

Reasonable and customary charges, medical necessity, along with best practices for inpatient patients.

Remote Web Access

We provide remote web access to our CRM and the latest IT tools, in line with industry standards.

Most important of all, MDabroad provides travelers with 24/7 access to a network of the world’s best providers. One call to MDabroad connects travelers to our doctors, nurses, and patient advocates.