ELAA INTERNATIONAL

ELAA INTERNATIONAl
MEDICAL ASSISTANCE AND TPA

ELAA INTERNATIONAL your trusted partner for medical assistance and TPA services

ELAA INTERNATIONAL provides a comprehensive range of medical assistance and Third-Party Administrator (TPA) services, ensuring smooth, secure, and high-quality care for our clients and their beneficiaries. Our operations are built on a foundation of expert personnel, a robust provider network, and cutting-edge technology.

24/7 Assistance Center: The heart of our operations

At the core of our services lies our Assistance Center (AC), the central pillar of our organization, operating 24 hours a day, 7 days a week to ensure seamless coordination and support. It relies on:

Our passionate and highly qualified collaborators ensure optimal case management, even the most complex ones. From assistance coordinators to supervisors and managers, all are trained to guarantee exemplary responsiveness and service quality. During peak periods, especially in high season, we reinforce our teams with carefully selected seasonal staff to maintain optimal coverage.

Staffed by experienced Coordinating Doctors who conduct thorough and immediate assessments of requests, ensuring continuous close monitoring of cases and the swift implementation of the most appropriate solutions for each situation. Their expertise guarantees not only the safety of interventions but also the efficient management of medical resources.

Extensive national and international provider network

We have a multidisciplinary network of carefully selected providers, operating 24/7 and meeting strict quality, safety, and environmental standards. Our network in Tunisia includes:

Medical assistance & Third-Party Administrator (TPA) services provided by ELAA INTERNATIONAL

At ELAA INTERNATIONAL, every step and service in medical assistance is meticulously coordinated to ensure a seamless, secure, and high-quality experience. We cater to the needs of our clients and their beneficiaries through a comprehensive range of medical and administrative services, including but not limited to:

including house call visits, consultations, hospitalizations, medication purchases, and other healthcare-related costs.

guidance and expert opinions on the quality of medical facilities and healthcare standards.

selection and orientation towards the most suitable medical facility based on the patient’s condition or specific medical needs.

organization of hospital admissions within ELAA INTERNATIONAL’s network of contracted clinics, covering the entire Tunisian territory, with preferential rates and discounts clearly stated on invoices for the benefit of clients and beneficiaries.

 across all regions of Tunisia with the most qualified and experienced doctors.

 tailored to the patient’s needs.

 retrieval of medical reports and close monitoring of medical management under the constant supervision of a Coordinating Doctor.

a dedicated department composed of medical auditors and doctors responsible for:

    • Analyzing the entire medical file to assess the appropriateness and legitimacy of medical procedures, interventions, and diagnostic tests. This includes reviewing:
      • Was the procedure actually performed?
      • Was it medically necessary for the case in question?
      • What was the degree of urgency?
      • Was it compliant with ELAA INTERNATIONAL’s directives?
    • Verifying the alignment of medical costs incurred with the pre-agreed rates of our partner healthcare facilities.
  • Ensuring compliance with medical fee regulations, by verifying that physician fees align with the standards established by the Tunisian Medical Board (CNOM) and the official Tunisian classification of medical procedures, investigations, and interventions performed by physicians, biologists, dentists, clinical psychologists, midwives, and medical auxiliaries.

organization of BLS and ACLS/ALS ambulances, ICU, pediatric and neonatal transport, among others.

ensuring qualified personnel accompany patients during medical transport.

handling repatriations and medical evacuations (EVASAN) on commercial flights, whether in standard seating, extra-seat configurations, or on a stretcher.

Deployment of dedicated air ambulances for cases requiring advanced medical care.

conducting in-depth medical investigations, including fraud detection and prevention related to medical claims and services.

 support and guidance for visa application processes.

providing qualified agents to facilitate arrivals and departures.

setting up an emergency advance fund system for urgent financial needs.

 from providing legal advice and personalized support to appointing and facilitating access to a lawyer in cases of disputes or legal proceedings.

tailored services to meet the specific needs of clients and beneficiaries.

Information systems, confidentiality, and data security

Aware of the sensitivity of the medical and personal data we handle, and determined to provide services compliant with the most demanding international standards, ELAA INTERNATIONAL has developed high-performance tools and systems to ensure confidentiality, security, innovation, and efficiency:

Our commitment to data security is unwavering. Through an Information Security Management System (ISMS) compliant with ISO 27001, we guarantee the confidentiality, integrity, and availability of sensitive information. The recruitment of a full-time Data Protection Officer (DPO) and compliance with international standards (GDPR, HIPAA) reinforce our position as a leader in personal data protection in Tunisia.

As a pioneering company, ELAA INTERNATIONAL is certified ISO 9001, 14001, 45001, and 27001, a unique combination in the medical and medical assistance services sector in Tunisia. These certifications testify to our commitment to quality, safety, and innovation to meet the most demanding expectations.

  • We have developed our own integrated system, ELAA GLOBAL MANAGEMENT SYSTEM (EGMS), through our subsidiary ELAA INTERNATIONAL INNOVATION AND ARTIFICIAL INTELLIGENCE. This advanced, modular, and secure CRM is based on cutting-edge technologies and artificial intelligence algorithms. Data exchanged via EGMS is encrypted with the SHA-256 standard and hosted in highly secure infrastructures.

Through this system, we provide our teams with high-performance tools, reduce human intervention, minimize error risks, and optimize our operations. Our in-house technical team ensures continuous support, guaranteeing unmatched reliability.