Total Care Network (T.C.N.)

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. TCN implements utilization management procedures, including pre-certification, discharge planning, concurrent clinical reviews and clinical case appeals, to evaluate the appropriateness and medical need of health care services and procedures according to evidence-based criteria and guidelines, and under the provisions of an applicable insurance policy. TCN’s Medical Call Centre undertakes the referral of patients with an applicable health benefits plan to our extensive network of designated doctors and healthcare facilities. Selective contracting with these healthcare providers allows predefined standard of service with cost optimization and effectiveness.