WaslMed
TPAs

Third Party Administrator Platform

Administer health benefits with speed and control.

In active developmentIn active development

The challenge

TPAs manage medical review, preauthorization, and settlement across manual queues — driving delays, disputes, and cost overruns.

The WaslMed solution

A TPA platform that automates medical review and accelerates accurate settlement.

Overview

The TPA Platform gives administrators end-to-end control over medical review, case management, member administration, and settlement — with automated preauthorization and rules-based claims handling that cut turnaround and protect margins.

-70%

Preauth turnaround

Faster preauthorization decisions with automated rules.

3x

Review capacity

More cases handled per reviewer.

99%

Settlement accuracy

Accurate, auditable settlements.

Key Modules

Everything this suite includes

Configurable modules that work together out of the box — no integration projects required.

Medical Review

Rules and clinical criteria applied consistently at scale.

Case Management

Coordinated management of complex and chronic cases.

Claims

Automated adjudication with configurable policies.

Member Management

Eligibility, benefits, and member lifecycle.

Settlement

Fast, accurate provider and member settlement.

Preauthorization

Automated preauth with medical necessity rules.

Business outcomes

Why leaders choose it

  • Consistent, rules-based medical review
  • Dramatically faster preauthorization decisions
  • Full audit trail on every claim and settlement
  • Lower administrative cost per case

Integrations

HL7FHIRProvider portalsPayment gatewaysBanking

Security & deployment

  • Private deployment on cloud or on-premise — you own your data.
  • Role-based access, encryption in transit and at rest.
  • Full audit trails and regulatory reporting built in.
Proven Use Cases

Proven in the field

Regional TPA

Cut preauthorization turnaround 70% with automated medical rules.

Benefits administrator

Tripled reviewer capacity without adding headcount.

Built for

TPAsInsurance CompaniesGovernment

Ready to see Third Party Administrator Platform in action?

Book a tailored walkthrough and we'll map this suite to your workflows and outcomes.

Your data. Your infrastructure.Unlimited usersAI in every workflow
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