Insurance Management services
A LEADING MEDICAL INSURANCE THIRD PARTY ADMINISTRATOR
Wise Medical Services adopts a knowledge-based practice and evidence-based administrative approach, and strongly upholds the principle that “Health is a Sustainable Investment.”
Through its comprehensive health insurance administration programs, Wise ensures that all enrolled members receive appropriate, high-quality medical care delivered with the highest standards of accuracy, transparency, and professional oversight.
Wise Medical Services maintains an extensive network of healthcare providers, including hospitals, medical centers, clinics, diagnostic facilities, and pharmacies, all carefully selected based on strict professional criteria. Wise operates a structured Network Management System designed to ensure the empanelment of qualified and reliable providers who meet the needs of enrolled members in terms of quality, specialization, and service standards.
Healthcare Network Provider
Claims Management
Wise Medical Services operates an advanced proprietary technology platform designed to optimize claims processing, reduce turnaround time, minimize paperwork, and ensure precise validation making the entire claims experience smooth and hassle-free for all stakeholders.
Auditing – Fraud, Waste & Abuse
Wise Medical Services employs an integrated medical auditing framework designed to safeguard financial resources and ensure full compliance with healthcare standards. Our auditing approach operates through two primary mechanisms: Offsite Audit and Onsite Audit, both conducted by a highly qualified team of medical auditors and certified coders.