For TPAs
Built to support TPAs.
You administer the plan. We help your members navigate the care.
What we handle
An operational resource your members can lean on.
Care Access
Urgent and non-urgent care navigation.
Specialist Search
Facility Search
Consultation Coordination
Clinical Documentation
Provider notes and CPT information.
Rate Negotiation
Quote Management
Transparent pricing for approval.
Scheduling
Member Navigation
Reporting
Ongoing case-status visibility.
What we do not replace
A complement to the plan — never a replacement.
NeuMed Direct does not replace
- The TPA
- Claims administration
- Plan administration
- Plan design
- Eligibility administration
- The employer benefit program
NeuMed Direct adds
- Care access
- Patient navigation
- Provider sourcing
- Specialty coordination
- Facility sourcing
- Negotiated pricing
- Case support
- Patient advocacy
No competing with your TPA. No replacing your plan. Just another resource when your member needs help.
When to refer
When to send us a case.
- Member needs an immediate evaluation
- Member does not know where to receive care
- A specialist needs to be identified
- A surgical procedure is being considered
- Facility pricing needs to be evaluated
- Existing network pricing is unusually high
- Oncology care requires coordination
- A member is having difficulty getting scheduled
- A second provider/facility option is needed
- A direct negotiated rate may create savings
- A complex case requires additional navigation
- The patient needs someone to help manage the process
Case visibility
What you can track.
Client-specific secure dashboards are on our roadmap.
Partner with us
Give your members another resource.
Refer a case today, or schedule a conversation about partnering with NeuMed Direct.