Fragmented TPAs
Each insurer has its own portal, format and approval flow.
Insurance claims, on one screen.
A unified claims platform for clinics. One login, every TPA, every plan with full visibility from submission to payout.
The Problem
One clinic, dozens of portals.
Every TPA, every plan, every login adds friction. Staff lose hours navigating disconnected systems just to get paid.
Plan sprawl
Every TPA offers multiple plans, each with different rules and panels.
Login overload
Up to 900 logins to complete a single cycle of claims.
No transparency
No single view of what's pending, paid or rejected.
The Solution
One platform, end to end.
From the first login to the final payout, MediFlow collapses the whole claims cycle into a single workflow your team actually wants to use.
Sign in once.
Stop juggling hundreds of credentials. Staff log into MediFlow once and we securely connect to every TPA portal in the background.
- Single sign-on for the whole clinic
- Encrypted vault for TPA credentials
- Role-based access for staff and admins
Submit any claim, any TPA, any plan.
One form adapts to the TPA and plan automatically. MediFlow handles formatting, mapping and routing behind the scenes.
- Smart forms that adapt per TPA & plan
- Auto-fill from patient records
- Validation before submission to reduce rejections
Track every claim in one place.
A single, searchable timeline of every claim across every TPA, from submission to payout. Full transparency for the whole team.
- Unified status: pending, approved, rejected, paid
- Filter by TPA, plan, doctor or date
- Audit trail for every action
See the money, not just the paperwork.
Real-time dashboards across all TPAs: claim volumes, approval rates, turnaround times and revenue at risk.
- Revenue and reimbursement trends
- Approval & rejection breakdown by TPA
- Days-to-payout and ageing reports
Know who's moving the needle.
Identify your top performers and bottlenecks. Track submissions, accuracy and turnaround per staff member.
- Submissions and approvals per staff
- Error and rework rates
- Workload balancing across the team
FAQ
Frequently asked questions
01 What is MediFlow?
MediFlow is a unified claims platform for clinics. Staff submit a reimbursement claim once and MediFlow routes it to the right TPA insurer portal automatically — then tracks it from submission to payout, all on one screen.
02 Is there any government grant available for this solution?
MediFlow can be structured as an Enterprise Development Grant (EDG) project which covers up to 50% of the project costs.
03 Which insurers and TPAs does MediFlow connect to?
MediFlow connects to all of the corporate insurance partners your clinic already works with.
04 Do staff still need a separate login for every TPA portal?
No. Staff sign into MediFlow once. We connect to each TPA portal in the background using an encrypted credential vault, with role-based access for staff and admins.
05 What visibility do we get across all our claims?
A single, searchable timeline shows every claim across every TPA: pending, approved, rejected or paid, with an audit trail for every action and dashboards for approval rates, turnaround times and revenue at risk.
06 Can we start with a small pilot?
Yes. You can start with a single TPA pilot whenever you're ready and expand to the rest once the workflow fits your clinic.