Total Care SaudiTotal Care SaudiBetaThird Party Administrators
Our Services

Healthcare risk and insurance management solutions

Our service model is designed to support claims, cost control, member experience, and operational continuity in a rapidly changing healthcare environment.

Claims Processing

Accurate adjudication with a focus on service quality

We bring together experienced teams, disciplined workflows, and responsive governance to help clients manage claims with greater consistency and confidence.

  • Eligibility and benefit verification
  • Medical and non-medical claims administration
  • Fraud, waste and abuse review
  • Operational reporting and audit support
  • Accurate payment processing
  • Member and provider communication support

Claims lifecycle focus

Intake & verificationFast turnaround
AdjudicationAccurate review
Payment issuanceTimely settlement
Member notificationClear communication

Responsive

Avg. wait time

24/7/365

Availability

Priority focus

First-contact support

Arabic + English

Languages

Call Center Support

Responsive support for members, providers, and partners

Our teams help answer questions, resolve service issues, and keep stakeholders informed across the claims journey, with a focus on empathy and responsiveness.

  • 24/7 support availability
  • Multi-language service capability
  • Claims, eligibility and authorization queries
  • Provider and broker support
  • Omnichannel communication
  • Quality-driven service standards
Beyond the Basics

Operational support built around sustainable healthcare outcomes

Our broader capabilities support network coordination, service continuity, and informed decision-making across the healthcare value chain.

Provider Credentialing

Structured review and coordination for healthcare providers and networks.

Utilization Review

Focused review of care needs to support effective, value-based decision-making.

Reporting & Analytics

Clear operational insights across claims, utilization, and service performance.

Digital Member Access

Simple, accessible channels for information, document handling, and service follow-up.

Regional Compliance

Operational processes aligned with local requirements and healthcare governance.

Data Security

Measured controls designed to protect sensitive information and support confidence.

Your business goals are our top priority.

Talk to our team about claims administration, call center support, provider coordination, and partnership opportunities tailored to your organization.