NEXtCARE is a TPA (Third Party Administrator) and not an Insurance company. NEXtCARE
specializes in providing complete health insurance management and third party administration services for insurers and other payers of healthcare.
You can submit a reimbursement claim either (download here) through the NEXtCARE website www.nextcarehealth.com or through the Mobile App available on Google Play and Apple Store.
Since required documents differ from one country to another and from one service type to another, for a complete list of required documents, please check “What are the required documents to submit a Reimbursement Claim?”
After completing all required information, follow these steps:
After you submit your completed claim form, you will receive a notification by e-mail to confirm that it has been submitted successfully.
You may search for a healthcare provider through the NEXtCARE website www.nextcarehealth.com or through the Mobile App available on Google Play and Apple Store:
Please contact our local Call Center number available at the back side of your insurance card so we can provide assistance and clarify procedures.
You can easily follow up on your reimbursement claim either by using My NEXtCARE or by calling the Call Center number on the back side of your insurance card.
Through My NEXtCARE, go to Claims, View Claims page and you can Search for any submitted reimbursement claim to know its status:
Alternatively, you can send a message through My NEXtCARE, Submit Inquiry page.
Go to Lost Card page, add your comments in the “Comment“ text box and click on “Submit“ to submit your request to NEXtCARE team.
Go to Contact Us, Submit Inquiry page, select the “Reason of Inquiry“, add your comments in the “Comment“ text box and click on “Submit“. NEXtCARE Customer Service Team will revert within the maximum of 48 hours.
Yes you can only if as per your Insurance Policy Terms and Conditions you are allowed to use a non-network provider for eligible services. However, this is not recommended as you will be required to pay all bills and then claim back eligible amounts.
To submit a Reimbursement Claim, please go to Claims, Submit a Claim page.
Network Providers are healthcare facilities (hospitals, clinics, laboratories, pharmacies, etc.) contracted with NEXtCARE allowing you to benefit from direct settlement of bills only by presenting your insurance card.
To see the list of Network Providers you are allowed to use, check your insurance policy or go to Network page.
NEXtCARE is one of the leading “Third Party Administrators” (TPA) for the insurance industry in the GCC & MENA region.
NEXtCARE is specialized in providing complete health insurance management and administration services to insurers and other healthcare payers providing the perfect balance between the best customer service and the maximum cost optimization in addition to compliance with regulators.
For more information about NEXtCARE, please visit www.nextcarehealth.com