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Pentacare Medical Services LLC

Pentacare was founded in November 2008 by the veterans of Medical Insurance in the UAE. The stature gained as connoisseurs in the field through performance driven culture, combined with a client-centric approach paved the way of the advent of the organization. The vision of providing excellent claims settlement service through our unique, value-driven approach, and incomparable customer oriented service is the organization’s top priority while improving quality and delivering more efficient service. Today, Pentacare provides excellent services to one of the biggest insurance companies in the UAE. Having successfully managed a huge number of claims clearly states Pentacare’s exemplary dedication. Pentacare will continue to set higher standards for its performance to deliver the most comprehensive service in claims settlement. Pentacare 24/7 Claims Center is staffed with highly professional doctors and Paramedics with knowledge of health insurance coverage and entrusted with determining members’ eligibility and prompt issuance of treatment authorizations to providers in accordance with the terms and conditions of the policy as set by the insurers or self-insured groups. They provides members guidance and assistance by answering queries concerning the applicable coverage, Providing information about eligible network their location and specialties & managing their chronic medication needs, and arranging second medical opinions if required Our team of professional doctors provides its clients a comprehensive claims processing solution that covers all stages of the processing cycle starting from receiving claims from providers and/or members to remitting payments to the concerned claimants. Through its team of highly-skilled professionals, We manage all Direct and reimbursement claims processing functions including application of cost containment techniques, adjustments relating to the coverage conditions of each member, claim burden attribution to insurer / priority payer / policy holder, issuance of payment bordereaux and explanation of benefits, reconciliation with providers, etc. Jobs or career at http://pentacare.net/?page_id=2291 Find us on http://facebook.com/QuanticaLabs http://twitter.com/QuanticaLabs ABN: 32040030725

Call Center # 800-PENTA(73682)


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