AdMedika AdClaim Digital Health Claims (TPA)

PT Administrasi Medika (AdMedika) is an Indonesian third-party administrator (TPA) headquartered at Telkom Gambir in Central Jakarta, with more than 23 years of experience. It was acquired by Telkom Group through TelkomMetra in 2010 and is now part of the Fullerton Health group. It connects insurers, employers and healthcare facilities so that health benefit claims are handled accurately and quickly.

AdClaim is its claims management service: an online network that links members, companies and 9,000+ partner healthcare facilities, standardises service and cost information, and supports indemnity, managed care and mixed schemes. Fraud management, 24-hour service and digital reports are built in. Around it, AdMedika offers AdBrief health data analytics, digital provider management, the MyAdmedika member app, I Assist overseas medical guarantees and evacuation, and a WhatsApp digital assistant. Clients are insurers, companies and institutions.

• AdClaim network: online claims processing linking members, companies and healthcare facilities.
• Flexible schemes: supports indemnity, managed care and mixed benefit schemes.
• Fraud management: controls to detect and prevent fictitious claims.
• AdBrief analytics: health data analysis for hospitals, companies and insurers.
• MyAdmedika app: members view benefits and health service information digitally.
• I Assist: overseas medical cost guarantees and emergency medical evacuation.

Vietnamese health insurers could study the AdClaim model to build cashless claims networks with private hospitals. Regional employers with staff in Indonesia could use AdMedika to administer local medical benefits. Hospital groups could partner on digital claim submission and provider management for insured patients.

Insurers and employers outsource claims processing to one network covering 5.1 million+ members and 9,000+ healthcare facilities. Fraud management helps detect fictitious claims and control benefit costs. Digital reports and AdBrief analytics give hospitals, companies and insurers data for decisions on benefit design. Members get on-site service at hospitals and digital access to benefit information through MyAdmedika.

Private health insurance and employer benefits are growing across Southeast Asia while medical inflation stays high. Insurers increasingly rely on digital TPAs with large provider networks, cashless claims and fraud analytics to keep costs under control and improve member experience.

Legal entity PT Administrasi Medika, based at Telkom Gambir, Jl. Medan Merdeka Selatan No. 12, Central Jakarta. Acquired by Telkom Group via TelkomMetra in 2010 and now part of Fullerton Health. Reports 5.1M+ members and 9,000+ partner facilities. Ranked first TPA at the Top Digital Financial Awards 2026.