TPA & International Claims Management. Built for Accuracy, Transparency & Global Scale
We manage the complete lifecycle of international medical and travel claims.
Meet MDabroad >From Eligibility verification and documentation intake to coding review
Our proprietary platform, MDiX, powers every step with real-time visibility and compliant, auditable
MDabroad is a digital-first Third-Party Administrator (TPA) serving
- International health insurers
- Travel insurers
- Expatriate portfolios
- Nomad programs
- Specialty coverage
We combine 25+ years of operational expertise with API-ready technology, ensuring that claims are managed with precision, transparency, and speed; regardless of where care occurs.
We are not a network lessor and not an insurer; we are a neutral, independent partner ensuring every claim is adjudicated fairly and efficiently, free from hidden interests or repricing markups.
Core Services
- Real-time policy matching
- Verification of exclusions
- GOP issuance
- Pre-treatment validation for hospitals
- Prevention of non-covered services
- Structured intake and document completeness checks
- Medical coding validation (ICD/CPT)
- Medical necessity review support
- Clarification requests and follow-ups
- Auditable documentation trail in MDiX
- Rules-based adjudication and benefit application
- Provider and member communication workflows
- Status updates and escalation handling
- Appeals and reconsideration support
- SLA monitoring and turnaround tracking
- Provider payment scheduling and coordination
- Multi-currency reimbursement processing
- Settlement reconciliation and confirmation
- Fee validation and balance checks
- Transparent payment visibility for stakeholders
- Real-time dashboards and KPI tracking
- Turnaround and SLA performance analytics
- Cost and utilization reporting
- Trend identification and anomaly alerts
- Custom data exports for insurers
Claims Lifecycle
GOP Documentation
Intake Coding Review
& Audit Filters Submission &
Follow-Up Reimbursement
/ Settlement
TPA Portfolios We Manage
- Travel Insurance (single-trip, annual, embedded)
- International PMI / Expat plans
- Student & Nomad programs
- Credit card & bank-linked coverage
- NGO / Government / Ministry portfolios
- Auxiliary travel/health benefits (evacuation, dental, sports, delay, parametrics)
Why Clients Choose MDabroad
- Transparent, neutral TPA without conflict of interest
- Direct settlement support (no pre-funding required)
- Fast document processing & adjudication
- MDiX-powered case visibility
- Multilingual claims support
- U.S. & LatAm expertise (rare combination)
- Fully compliant (HIPAA / GDPR / LGPD)
Frequently Asked Questions
Yes. MDiX is fully API-capable, enabling:
- Automated eligibility checks
- Policy matching
- Claims status sharing
- Reimbursement updates
- Data export for analytics
Ideal portfolios include:
- Travel medical
- International private medical insurance
- Student/nomad health
- NGO/government global health needs
- Specialized benefits requiring fast adjudication and global coordination