Established healthcare claims expertise

Healthcare claims. Managed with 25+ years of know-how.

Medilink is a Third Party Administrator and healthcare claims solutions company. We combine deep domain knowledge, proven operations and purpose-built technology for insurers and employers.

Explore our expertise Talk to our team

25+years in TPA and healthcare claims

2,000+healthcare providers and physicians supported in Malaysia

Our advantageDomain expertise, enabled by technology

Why Medilink

We know the claim behind the system.

Pure technology can connect data. Medilink brings the operational knowledge to understand benefits, medical claims, provider and physician workflows, member needs and payor controls.

Technology is the enabler. Healthcare claims expertise is the foundation.

PayorsInsurers & employers

Provider and PhysicianHospitals, clinics & doctors

UserMembers & patients

Claims expertiseOperations · Services · Technology

Third Party Administration

End-to-end claims administration, grounded in experience.

We support in-patient and out-patient healthcare programmes for insurers and employers—from eligibility through claims, provider coordination, payment administration and reporting.

Eligibility & benefits

Real-time verification against the member’s healthcare plan.

Claims administration

In-patient and out-patient workflows shaped by operating experience.

Provider and physician coordination

Connected administration across hospitals, clinics, physicians and care networks.

Payment processing

Structured billing and payment administration for agreed programmes.

Contact centre support

24/7 operational support for members, healthcare providers and physicians.

Reporting & review

Claims information for operational oversight and programme management.

Enterprise Claims & Care System (ECCS)

The claims and benefits engine for payors.

A configurable healthcare claims management platform shaped by decades of administration experience. The Enterprise Claims & Care System (ECCS) supports insurers, employers and TPAs across complex benefit designs and operating environments.

Member, plan, benefit, limit and exclusion management
Claims processing, validation and operational reporting
Customer-specific workflows, controls and deployment needs

ECCS operating viewHealthcare plan administration

01MemberEligibility confirmed

02BenefitsRules & limits applied

03ClaimWorkflow managed

04InsightReporting available

Built for established claims operationsOn-premise or suitable hosted approaches

Medibridge

One Bridge. MULTIPLE Care Network Environment.

Medibridge digitises the exchange between healthcare providers, physicians and participating payors. Payor means the insurer, employer or other sponsor responsible for the healthcare programme.

For hospitals & medical centres

Medibridge Hospital

Supports Letter of Guarantee, medical information and billing workflows between hospital systems and participating payors.

HIS / EMR / Billing→Medibridge→Payors

For Ancillary Care Network

Medibridge Ancillary Care Network

Supports eligibility, visit and claim submission workflows, helping ancillary care providers and physicians work with participating payors through one connected environment.

Eligibility / Visit→Medibridge→Claim status

For corporate employers

Employee benefits, administered with care and control.

Medilink helps employers manage healthcare benefits through practical administration, provider connectivity, member support and claims visibility.

Clearer administrationConnected care accessBetter programme visibility

EmployerHealthcare programme

BenefitsEligibility & plan rules

ClaimsAdministration & payment

NetworkHospitals & clinics

SupportMembers & reporting

Responsible innovation

Planned · Under development

Deep expertise today. Carefully applied intelligence next.

Medilink is exploring AI-assisted document intake, review and decision support. These capabilities are not presented as live product features and remain subject to validation, agreed scope and human accountability.

UnderstandDocument and information intake

ValidateQuality and completeness checks

AssistControlled review support

DecideHuman accountability retained

Continue the conversation

Let’s strengthen your healthcare claims environment.

Talk to us about your benefit programme, claims operations, provider and physician workflows or system requirements.

Contact Medilink

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