The Claim Process

Six Steps to Successful Claim Resolution

A structured, transparent approach to managing international insurance claims from start to finish.

01
Patient Presents Insurance Information

The provider shares available insurance details, medical documentation, and treatment information with Amexcare.

02
Coverage Verification

Amexcare contacts the insurer, TPA, or assistance company to verify:

  • Eligibility
  • Benefits
  • Coverage conditions
  • Limitations and exclusions
03
Guarantee of Payment Request

Where applicable, Amexcare coordinates requests for letters of guarantee or authorization approval.

Approval remains subject to insurer review and policy conditions.
04
Treatment & Documentation Coordination

The provider delivers medical treatment while documentation and billing requirements are coordinated.

05
Claims Submission

Claims documentation and billing information are prepared and submitted to the insurer or responsible payer.

06
Follow-Up & Collections Support

Amexcare follows up with insurers and TPAs regarding claim processing and payment status.

Process Overview

End-to-End Claim Management

Our streamlined 6-step process ensures that every international insurance claim is handled with precision, transparency, and efficiency.

From the moment a patient presents their insurance information to the final payment resolution, Amexcare provides comprehensive support at every stage.

  • Full coverage verification before treatment
  • Guarantee of payment coordination
  • Accurate claims preparation and submission
  • Diligent follow-up and collections support
1 Patient Presents Insurance Information
2 Coverage Verification
3 Guarantee of Payment Request
4 Treatment & Documentation
5 Claims Submission
6 Follow-Up & Collections
Full Coverage Verification

We verify eligibility, benefits, limitations, and exclusions before any service is rendered.

GOP Coordination

We coordinate with insurers to obtain Guarantees of Payment and service authorization.

Collections & Appeals

Ongoing follow-up on outstanding claims and appeals management.

Need Help With Your Claim?

Our dedicated billing specialists are here to assist you with coverage questions, claims, and prior authorization.