Sector-leading integrated services to insurers and healthcare providers

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Managed Care

TCN IMPLEMENTS A VARIETY OF TECHNIQUES INTENDED TO OPTIMIZE THE COST OF PROVIDING HEALTH SERVICES AND IMPROVE THE QUALITY OF CARE, TO THE BENEFIT OF PATIENTS, HEALTHCARE PROVIDERS AND INSURERS.

Utilization management, including pre-certification, discharge planning, concurrent clinical reviews, and clinical case appeals Utilization review, fraud & abuse containment Prospective and retrospective medical review Healthcare provider network management
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third-party administration

As a third-party administrator, TCN is a prominent player in the healthcare industry, having the expertise and capability to administer all parts of the claims process.
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health risk assessment

Health risk assessment of insurance policy applicants is pivotal in the underwriting process and TCN’s expertise guarantees optimal procedures to fulfil the task.
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healthcare provider network

TCN has assembled a nationwide network of healthcare providers spanning all medical specialties. It comprises affiliated physicians, diagnostic centres and private hospitals and clinics, admitting policyholders at a predefined preferred pricelist.

Gatekeeping System

TCN delivers high-end managed care services

Medical Call Centre: Operating on a 24 / 7 basis, the Medical Call Centre is staffed by competent and experienced physicians who promptly respond to inquiries concerning medical advice or prospective treatments and, depending on eligibility and policy coverage, decide on referrals to health providers from TCN’s network of affiliated private medical offices, diagnostic centres, hospitals and clinics.
Coordinating Centre: Available during business days, the Coordinating Centre is an integral part of TCN’s gatekeeping system, ensuring quality healthcare service level for policyholders at optimised cost for the insurers. Staffed with highly efficient personnel trained in managed care, the Coordinating Centre reviews policy terms and implements utilization management tools, including case assessment by TCN medical reviewers on admission and, if warranted, during hospital stay.

High-end services Delivered by a reliable partner

As a managed care and TPA service provider to insurance companies and healthcare organizations, we combine in-depth knowledge of the healthcare industry with a robust set of service offerings to support the business objectives of our customers and maximize their benefit.

MANAGED CARE

Utilization management TCN implements utilization management procedures, including pre-certification, discharge planning, concurrent clinical reviews and clinical case appeals, to evaluate the appropriateness and medical need of health care...

THIRD-PARTY ADMINISTRATION

Claims processing, auditing and adjustment Medical claims auditing is provided by TCN’s experienced in-house medical and administrative staff. Invoices issued by health providers are carefully reviewed for unnecessary...

HEALTH RISK ASSESEMENT

Pre-insurance assessment Pre-insurance medical screening of insurance policy applicants is pivotal in the underwriting process. Aspiring to offer a fast and efficient service, we liaise with a nationwide...
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+30 210 6288035

Total Care Network
Vas. Sofias 6
10674, Athens, Greece
Email: info@tcn.gr