Carelinks Health Services Limited is registered with the National Health Insurance Authority (NHIA) as a national Third Party Administrator (TPA). We manage the day-to-day administration of health plans for payers and providers, backed by our own telemedicine, electronic medical records and health information exchange platforms.
From enrolment and pre-authorisation to claims payment and reporting, we give payers confidence and providers a reason to stay in the network.
Paying providers quickly, controlling fraud and waste, keeping members satisfied, and reporting transparently to payers and regulators.
Accurate, timely claims processing and provider payment, with clear audit trails from submission to settlement.
Provider engagement, accreditation support and quality monitoring that keeps the network strong and accessible.
Enrolment, eligibility verification and responsive customer care for every member, on every channel.
Pre-authorisation and care review that controls cost and abuse without getting in the way of good care.
Our TPA services are powered by platforms we build and operate ourselves, so data moves between payers, providers and members without friction.
Virtual care for enrollees and patients, giving members access to doctors without leaving home.
carelinks.appOur own electronic medical records software, helping providers capture clean clinical data at the point of care.
Deploy in your practiceOur own Health Information Exchange, connecting systems and providers so care teams see the full picture.
Connect your systemsWe combine healthcare administration experience with technology we own, so payers get clear reporting and providers get paid predictably.
Clear SLAs, automated payment runs and an escalation path when things slip.
Pre-authorisation rules, analytics and audits built into the process from day one.
Responsive support, easy eligibility checks and channels that work on low bandwidth.
Claims ratio, turnaround, network coverage and member feedback, reported clearly.
Whether you are an HMO, insurer, state scheme, employer or provider, we would like to hear what you are trying to solve. Doctors, specialists, hospitals and clinics can also deploy our platforms in their practice.