What we do

Three service areas — modular by design.

All elements are available as a comprehensive engagement or as discrete mandates. Scope is agreed in writing before any work begins.

For health insurers

IPMI Operations Support

Senior clinical advisory for international private medical insurers — seven modules, deployable individually or in combination.

Medical Case Review & Coverage Advisory

Advisory on medical necessity, for the insurer's decision
Clinical assessment of exclusions and declinations
Pre-authorisation guidance for planned procedures

Clinical Governance

Clinical governance advisory for IPMI operations
Detection of over-, under- and inappropriate care
Drafting of treatment pathways and clinical guidelines

Case Advisory & Complex Cases

Advisory on appropriateness of care
Review of treatment plans, length of stay and costs
Advisory on discharge planning and alternative pathways

Quality of Care

Assessment of facilities and national systems
Alignment with international best practice
Transfer recommendations for the insurer's decision

Medical Transportation

Clinical assessment of transport recommendations
Advisory on timing, mode, cost and logistics
Escalation protocols and decision trees

Billing, Utilisation Review & Cost Containment

Retrospective invoice review against R&C standards
Advisory on directional-care criteria for the insurer
Detection of over-servicing and over-billing

Team Leadership & Communication

Leadership and training for clinical and ops teams
Direct communication with the insurer's claims and operations units
Support for claims and operations decisions

A detailed service dossier is available on written request.

For programme sponsors

Severe Illness Programmes

Advisory to sponsors of severe-illness programmes — coordination of independent review and partner-delivered logistics, on behalf of the commissioning party.

Documentation Review

Review of submitted documentation against the table of benefits, for the insurer's decision.

Independent Review

Commissioning and quality assurance of independent second opinions through credentialled partners.

Patient Logistics

Partner-delivered patient logistics, coordinated on behalf of the insurer.

Documentation & Invoice Review

Case documentation and invoice review for the insurer.

For insurers & employers

Second Opinion & Cross-Border Advisory

Commissioning of independent clinical opinions and advisory on cross-border treatment options for the commissioning insurer or employer.

Independent Medical Second Opinion

Commissioning and quality assurance of independent second opinions through credentialled partners
Credentialled partner specialists by discipline
Written opinion for the commissioning insurer or employer

Advisory on Cross-Border Treatment Options

Treatment countries and centres of excellence
Advisory to the insurer on selection criteria; selection is made by the network partner
Cost quotations and contracting support

Partner-Delivered Patient Logistics

Partner-delivered patient logistics, coordinated on behalf of the insurer
Logistics are delivered by network partners under their own responsibility

Cross-Border Case Coordination

Single point of clinical and operational coordination
Liaison between the network partners and the insurer
Confidential reporting to the commissioning insurer