HealthMetrics Digital TPA Platform

HealthMetrics is a Malaysian digital third-party administrator (TPA) whose company registration dates to 2015, with offices in Subang Jaya, Singapore and Jakarta. It tackles rising corporate medical costs and the paperwork of managing panel clinics, claims and guarantee letters for employee health benefits.

The cloud platform links employers, insurers and a regional network of 15,000+ healthcare providers. Employers use a dashboard for enrolment, benefit rules, real-time claims data and cost insights, with AI-based fraud detection and cost containment. Employees use the Global Member App to find panel clinics, track claims and request digital guarantee letters. A Smart Insurance module integrates with group hospitalisation and surgical policies. Clients range from SMEs to large corporates and insurers.

• Employer dashboard: benefits management with real-time claims, utilisation and cost insights.
• Digital TPA: automated enrolment, claims processing and reporting in one platform.
• Provider network: access to 15,000+ panel clinics and hospitals in the region.
• Global Member App: employees find panels, track claims and request guarantee letters.
• Fraud detection: AI-powered tools for fraud detection and cost containment.
• Smart Insurance: inpatient module integrated with group hospitalisation and surgical cover.

Manufacturing and retail employers in Vietnam could digitise outpatient benefit claims for large workforces. Vietnamese insurers could partner on digital TPA services for group health policies. Regional companies with staff in Vietnam, Malaysia and Indonesia could manage benefits in one dashboard.

Automating enrolment, claims and reporting reduces HR administrative time by up to 85%, according to the company. Real-time utilisation data and AI fraud detection help employers contain medical spending. Digital guarantee letters are issued within one day on the Professional plan, and non-panel claims are processed within 3 working days. A self-funded, ASO-style plan lets companies pay for actual usage instead of a fixed annual premium.

Medical inflation across Southeast Asia is pushing employers and insurers to digitise benefits administration and move toward data-driven, self-funded plans. Growing cross-border workforces also increase demand for one platform that covers provider networks in several countries.

HealthMetrics Sdn Bhd (registration 201501045173) is based in Subang Jaya, Selangor, with entities in Singapore and Indonesia. Raised a US$5M Series A in 2020, invested in Across Asia Assist in 2022 and rebranded it as HealthMetrics Indonesia in 2025. Serves 3,000+ companies and holds ISO/IEC 27001:2022 certification from BSI.