Who We Serve
When you contract with Medegy Health Systems, your health plan or specialty provider network gains access to a full continuum of healthcare third-party administrative (TPA) services, including network management, claims processing, credentialing, utilization management, HEDIS outreach programs, and much more.
Medegy Health Systems is an industry leader helping managed care companies administer health benefits with innovative, technology-based tools. Our clients include:
Health Plans
We provide a wide range of TPA services to our health plan clients, including automated claim adjudication, cost savings, compliance, and regular monitoring of fraud, waste, and abuse. We serve health plans such as:
- Medicare Plans
- Medicaid Plans
- Commercial Plans
- Managed Care Organizations (HMOs, PPOs, POS plans)
Specialty Provider Networks
Medegy Health Systems has crafted advanced solutions and programs aimed at simplifying and improving efficiency of administrative tasks for various specialty provider networks, including the following healthcare specialties:
- Cardiology
- Chiropractic
- Dental
- Dermatology
- Durable Medical Equipment
- Gastroenterology
- General Surgery
- Hearing
- Hematology
- Home Health
- Home Infusion
- Laboratory
- Medical Transportation
- Mental Health
- Occupational Therapy
- Oncology
- Ophthalmology
- Optometry
- Orthopedics
- Pain Management
- Podiatry
- Physical Therapy
- Radiation Oncology
- Speech Therapy
- Urology
- Vision
Not sure if we can help your network or managed care organization? Call Medegy Health Systems in Miami, Florida, at (786) 441-8465 or toll-free at (888) 225-0535 to find out which Medegy solution is right for your business. You can also request a consultation with us now.
