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Products and Services

TPA Services

We are on panel with various insurance companies for providing direct billing facility to the insured clients of these insurance companies in our network hospitals, clinics, pharmacies and diagnostic centers. Presently, MaxCare ME has a total network in Dubai and Northern Emirates inclusive of about 500 providers.The number is ever increasing.

Product Formulations and Network Negotiations

We assist Insurance companies in negotiating special rates and formulating specific network for customised products. The product is marketed by Insurance companies and Brokers to corporate groups and monitored by our TPA services.

Preventive Healthcare Management

  • Preventive healthcare and old age care, disease management and pharmacy management services.
  • Corporate health check up programs for occupational diseases.
  • Electronic Medical Records and Health Records management.
  • Corporate health profiling, wellness health talks and Medical Camps

Claim Processing

MaxCare ME offers claim processing at Dubai as an outsourced service for TPAs and insurance companies. This ensures better liaison, enhanced data security and faster response speed. The caliber of handling and processing substantial claims volumes and data processing with excellent turn-around time (TAT) and ICD & CPT coding by paramedic, life sciences or TPA experienced claim processors under supervision of doctors.
Company has a facility at Deira, Dubai for processing bulk OPD claims, data processing for claims and enrollment data processing.

E-ClaimFilling

As an outsourced activity MaxCare ME can file claims electronically on behalf of providers for insurance companies. MaxCare ME can provide this service to providers in Dubai and other Northern Emirates. This will ensure faster payment to the providers and will clean and sweep the data for insurance companies.

Coding-ICD and CP

MaxCare ME consists of trained medical professionals (doctors and paramedics), well versed with medical coding including ICD (for disease) and CPT (for procedures). The team is supported by a specially designed software module- 'OPmax'. Services like CPT coding of tariff lists, providing CPT and ICD coding related training to hospital staff and IT support required to map the CPT coded procedures with the tariffs are to name a few.

Electronic Medical Record Management System (EMRM)

Innovative EMRM to compile health record of the insured population which will further help in formulating health insurance policies targeting customer needs.

Medical Travel Assistance

  • Elective surgeries and treatments can be carried out on Direct Billing basis in UAE (500 providers) and Pan-India (5000 providers).
  • Medical helpline and case manager doctor during the treatment
  • Online Expert Medical Opinion
  • End-to-end services including facilitation, visa, translator, stay, travel etc are provided
 
 
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Contact Us
RHEU-FF(First Floor)
Wafi Residency
Near Dubai Healthcare City Metro Station
Umm Hurair-2, P.O.Box:35769
Temp Phone :+97143964272, +97143970327

General query:
Contact us at info@maxcareme.com
Call @ +971 4 4043232
Fax@+971 4 2367979
 
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Copyright 2017, MaxCare Middle East, LLC
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