Company & Experience
Founded in 2000, MDabroad has 26 years of continuous operation. We are headquartered in Aventura, Florida with operations centers in São Paulo, Brazil and Buenos Aires, Argentina. We've managed over $1.2 billion in international medical claims across our client portfolio.
We operate directly across 30+ countries in the Americas and maintain partner networks covering 150+ countries worldwide. In the U.S., our Aetna PPO access covers 6,093 hospitals across all 50 states.
We have 85,000+ contracted providers including hospitals, outpatient clinics, diagnostic centers, laboratories, pharmacies, and dental facilities. Over 500 are direct partner hospitals with negotiated rates.
Clinical Operations
24/7/365. Our clinical coordination center operates around the clock from three time zones. Every call is answered by a trained medical professional — never an answering service.
Five languages in-house: English, Spanish, Portuguese, German, and French. Additional languages available through our partner network.
Yes. In-house multilingual physicians available within 5 minutes. Over 50% of cases resolve without an ER visit. Includes e-prescribing with discount pharmacy network access.
We manage evacuations end-to-end: clinical assessment, air ambulance coordination, receiving facility arrangements, family travel logistics, and repatriation. All decisions made by our medical director — never outsourced to a call center.
Cost Containment
Aetna PPO network access (6,093 hospitals, all 50 states), AI-powered repricing engine, hospitalist deployment for bedside advocacy, and local-currency settlement. Average savings of 52% on U.S. inpatient claims vs. chargemaster billing.
Three mechanisms: (1) PPO network access at pre-negotiated rates, (2) direct hospital contracts with guaranteed discounts, (3) hospitalist deployment to manage length of stay and prevent unnecessary charges. Our AI repricing catches billing errors that manual review misses.
Claims Financing
We pay providers within 72 hours using our own balance sheet — no third-party lenders. This eliminates the typical 60-120 day settlement cycle and unlocks 15-30% deeper provider discounts because hospitals prefer guaranteed fast payment.
We offer flexible terms based on claims volume and portfolio characteristics. Typical arrangements include per-claim fees, percentage of savings, or blended models. Contact us for a tailored proposal.
Technology
MDiX is MDabroad’s claims-automation platform. Depending on the agreed implementation, program scope may include claims ingestion, OCR document processing, adjudication support, portal experiences, payment capabilities, and insurer-system integration. White-label options, feature availability, and implementation scope are confirmed for each program.
Yes. MDiX is API-first with RESTful endpoints for claims submission, status queries, payment notifications, and reporting. We support standard data formats (HL7, X12, JSON) and can adapt to your existing workflows. Typical integration takes 4-6 weeks.
A provider-portal program can be scoped to include digital invoice submission, claim-status tracking, payment history, Guarantee of Payment workflows, and case-manager communication. Please confirm the required features, implementation approach, and current availability for your specific program.
Security & Compliance
Yes. All systems, processes, and personnel comply with HIPAA Privacy and Security Rules. We maintain Business Associate Agreements (BAAs) with all partners and conduct annual HIPAA risk assessments.
256-bit AES encryption at rest and in transit, role-based access control, multi-factor authentication, annual penetration testing, ISO 27001-aligned controls; HIPAA, GDPR, and LGPD controls data handling, and 99.9% uptime SLA with full business continuity planning.
Getting Started
Typical onboarding takes 30-60 days depending on integration complexity. Includes: discovery call, commercial terms agreement, technical integration (if applicable), provider network mapping, clinical protocol alignment, and go-live with dedicated account manager.
We work with organizations of all sizes, from startups with $500K in annual claims to enterprise carriers managing $100M+ portfolios. Our commercial model scales accordingly.
Have Questions Not Listed Here?
Submit your full RFP and our commercial team will provide custom answers within 48 hours. We're ready to dive deep on any aspect of our platform, operations, or clinical protocols.
Submit Your RFP Call Us: +1 (786) 618-1080