managed care

TCN implements a variety of techniques intended to optimize the cost of providing health services and improve the quality of care, to the benefit of patients, healthcare providers and insurers.

Utilization management, including pre-certification, discharge planning, concurrent clinical reviews, and clinical case appeals

Utilization review, fraud & abuse containment

Prospective and retrospective medical review

Healthcare provider network management

third-party administration

As a third-party administrator, TCN is a prominent player in the healthcare industry, having the expertise and capability to administer all parts of the claims process.

health risk assessment

Health risk assessment of insurance policy applicants is pivotal in the underwriting process and TCN’s expertise guarantees optimal procedures to fulfil the task.

healthcare provider network

TCN has assembled a nationwide network of healthcare providers spanning all medical specialties. It comprises affiliated physicians, diagnostic centres and private hospitals and clinics, admitting policyholders at a predefined preferred pricelist.

gatekeeping system

TCN delivers high-end managed care services, by the interaction of several distinct sections within the company.

Medical Call Centre: Operating on a 24 / 7 basis, the Medical Call Centre is staffed by competent and experienced physicians who promptly respond to inquiries concerning medical advice or prospective treatments and, depending on eligibility and policy coverage, decide on referrals to health providers from TCN’s network of affiliated private medical offices, diagnostic centres, hospitals and clinics.
Coordinating Centre: Available during business days, the Coordinating Centre is an integral part of TCN’s gatekeeping system, ensuring quality healthcare service level for policyholders at optimised cost for the insurers. Staffed with highly efficient personnel trained in managed care, the Coordinating Centre reviews policy terms and implements utilization management tools, including case assessment by TCN medical reviewers on admission and, if warranted, during hospital stay.

High-end services

Delivered by a reliable partner

As a managed care and TPA service provider
to insurance companies and healthcare organizations,
we combine in-depth knowledge of the healthcare industry

with a robust set of service offerings
to support the business objectives of our customers
and maximize their benefit.

Managed
care

third-party
administration

Health risk
assessment

Total Care Network (TCN) provides sector-leading integrated services, fully scalable and modular, to insurers and healthcare providers.

Read more

Utilization management / Utilization review / Prospective and retrospective medical review / Healthcare provider network management /Third-party administration / Pre-insurance health risk assessment / Medical telephone interview / Medical Call Centre / Coordinating Centre

Rest confident that we have the resources and capabilities to meet your needs

High-end services delivered by a reliable partner: invaluable

Leading care and TPA service provider to insurance companies and healthcare organizations

Latest news:

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We’re excited to announce that our new and refreshed website is live. The updated site embraces the less is more moto with easier navigation and full mobile and desktop versions.

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TCN is moving to a brand new office location! Our new office is significantly larger and it gives our staff a greatly improved working environment as well as room for continued expansion.

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We are proud to announce that Expert Opinion, the leading medico-legal reporting agency in Greece, has acquired a majority stake in TCN.
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