Sector-leading integrated services to insurers and healthcare providers
Services overview
TCN provides sector-leading integrated services, modular and fully scalable, to insurers and healthcare providers.
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
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.
- Hospital and outpatient claims processing, auditing and adjustment
- Process optimisation consulting
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.
- Medical underwriting support and pre-insurance assessment
- Medical telephone interview service
- Quality control – Data analysis and performance reporting
Quality policy
ISO Certification
TCN is committed to the continuous improvement of the quality of services, adhering to certified procedures for managing each and every case and evaluating employees and partners.
The company has received ISO 9001:2008 certification of its Quality Management System, highlighting its commitment to maintain the highest level of functioning and provision of services.
The management of TCN’s medical and personal digital data complies with the security provisions of ISO 27001:2005 quality standard, proof of the company’s strong commitment to integrate its hardware, software and procedures in a comprehensive Information Security Management System.
Specialized software
TCN operates on a web-based medical case management platform that allows 360o visibility of the progress of each and every case by all stakeholders, including medical reviewers, insurance companies and health providers.
In addition, our bespoke TPA software implements data mining and predictive modelling algorithms, to provide a treasure of epidemiological, financial and comparative statistics.
