TPA Claims Management Software Solutions

MedinyX TPA Platform is an end-to-end TPA (Third Party Administrator) software. Our System is designed to enable automated health benefits with ICD-10 Diagnosis and auto-adjustment of claims.

MedinyX TPA Claims Management System offers influential advantages to enhance the velocity and effectiveness of claims preparation and settlements further escalating client administration and fulfillment levels. MedinyX's TPA Claim Management Software offers secure and easy access to policy and claim information online, 24/7. Get a free demo of the software.

MedinyX TPA Platform Modules

Accounts / Finance

  • Payments
  • Deposit
  • Advance
  • e-Approvals


  • User Rights
  • Office & User Configuration
  • Currency & Country Configuration
  • Admin Eye & Email Rights

Credit Control

  • Party Ledger
  • Days Interval Outstanding
  • Payment Settlement
  • Followups & Email reminder

Client Portal

  • Portal for Hospital
  • Portal for Customer
  • Portal for Insurance Company
  • Portal for Assistance Company

Claims Payment

  • Claim Adjudication
  • Claims Audit & Investigation
  • Running Claims / Pending Claims
  • Claim Payment Verification
  • Closed Claims

Claim Operations

  • Claims Itntimation
  • Claim Dashboard
  • Claim Auditing
  • Documents Verification and Uploads
  • Claim Verification and Claim Registration

Invoicing / Billing

  • Invoicing to Insurers
  • Invoicing Approval
  • Multiple Currency
  • Provider Billing

Preferred Providers

  • Preferred Providers
  • Pre Agreed pricing
  • Discount and Negotiation

Policy Management / Member Enrollment

  • Policy/Plans Configuration
  • Policy/Plans Benefits & Limits
  • Checklist for Policy Benefits
  • Bulk Enrollment - Excel
  • API Enrollment - XML, API

Benefits for Health Insurance Company

Multiple currency management

Claim dashboard

Automated alerts and notification

Tailored workflow as per your requirements

Reduce the claim cycle time

Improve productivity and efficiency with Claim process automation

Platform Screenshots

ICD-10 Diagnosis

Provider Invoice

MCC Invoice Details

Claims Dashboard

Some of the key features of MedinyX TPA system

  • Claim notification and automotive response in minimum time to the client.

  • Claim Registration and Verfication

  • Claim management system holds the ability to remind the urgent and pending claims on the group and individuals.

  • Full provider network database with integrated map service.

  • Handling of claims requests.

  • Insurance claim management software have the ability to store large number of data related to the claim whether medical, financial or network related.

  • All communications - documents and logs stored directly on the related claim.

  • Ability to share the files with individuals and groups at the same time.

  • Has real time currency exchange features.

  • Templates for all outgoing communications.

  • Allows files to transfer and share with different dept. for billing, networking and Auditing purpose.

  • Claim management system's ability to share the Medical information with medical dept. and to avail their authorization and recommendation online on the critical medical cases.

  • Online authorization features.