Medigo
Medigo is a Berlin-based B2B Third-Party Administrator providing global claims management, cost containment, second medical opinion, and medical concierge services to health insurers through its proprietary MediClaim software and a curated network of 5,200+ medical facilities across 100+ countries.
- Company typePrivate
- Founded2013
- HeadquartersBerlin, Germany
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Medigo does
Medigo GmbH is a Berlin-based Third-Party Administrator (TPA) that provides claims management, cost containment, second medical opinion, and medical concierge services to the international health insurance industry. The company was founded in 2013 as a consumer-facing medical travel marketplace serving patients across 195 countries, then pivoted in 2017 into B2B TPA services before discontinuing the consumer platform entirely in 2020 to focus exclusively on enterprise clients. Its customer base comprises international insurance companies, travel insurers, other TPAs, and re-insurers, served through quote-based, multi-year contracts with a dedicated partner sales channel ([email protected]).
The company's core technology is MediClaim, an API-first proprietary claims management platform that powers cashless access to a curated network of 5,200+ medical facilities across 100+ countries, with direct billing arrangements in 60+ countries and claims handling in 15+ languages. Medigo layers AI-powered capabilities onto MediClaim for invoice validation, creative billing detection, fraud/anomaly identification, and automated claims handling, and has developed payment card solutions for direct billing with providers. An in-house medical team provides domain expertise including German medical coding.
Medigo generates revenue through a mix of managed service fees on claims processing volume, transaction-based fees on network access and cost containment, and professional services revenue from second medical opinion and medical concierge engagements. The company claims 1M+ members with access to its services, 300k+ cases managed using its custom technology, and 5% to 50% cost savings for partners depending on market. Headcount is 11-50 employees, and the company is privately held with no institutional investors, parent company, or public funding rounds clearly attributable to it in the available data.
Medigo firmographics
Firmographics- Name
- Medigo
- Legal name
- Medigo GmbH
- Website
- https://medigo.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Medigo is a Berlin-based B2B Third-Party Administrator providing global claims management, cost containment, second medical opinion, and medical concierge services to health insurers through its proprietary MediClaim software and a curated network of 5,200+ medical facilities across 100+ countries.
- Ownership category
- akta.pro rank
Medigo industry classification
Industry- Product category
- Healthcare Third-Party Administration Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Assistance & Claims Management Platforms (FNOL, TPA Tech) (THALALAF)
- akta.pro secondary industry
- Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)
Keywords
Where Medigo is headquartered
LocationHeadquarters
- HQ city
- Berlin
- HQ country
- Germany
- HQ region
- Europe
Offices1 record
Markets served
Medigo business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- TPA Services - Claims Management: Claims management and handling services for insurance companies, managing thousands of policyholders using custom-built software. Revenue generated through service fees based on case volume and complexity.
- Network Access & Cost Containment: Providing cashless access to medical network in 100+ countries with preferential rates and discounts. Revenue derived from negotiated network pricing and cost containment services.
- Second Medical Opinion & Medical Concierge: Remote access to global network of medical experts for diagnosis validation and treatment pathway review, plus medical concierge services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom enterprise pricing for insurance partners |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels3 records
Medigo product offering
Product offeringCore offering
Medigo is a Third-Party Administrator (TPA) that delivers global healthcare administration services to health insurers, travel insurers, and other TPAs. Its core offerings include Network Access & Claims Management, Cost Containment, Second Medical Opinion, and Medical Concierge, all powered by an API-first proprietary claims management platform (MediClaim) and supported across 15+ languages in 100+ countries.
Product overview
Medigo is a Third-Party Administrator (TPA) providing a unified B2B platform for health insurance companies. The offering centers on the MediClaim software platform, which powers four integrated service modules: Network Access & Claims Management (cashless access to 100+ countries, multilingual case handling, payment card solutions), Cost Containment (invoice validation, regional benchmarking, billing detection), Second Medical Opinion (global expert access for diagnosis validation), and Medical Concierge (multilingual support, hospital coordination). The services enable insurers to simplify global healthcare journeys through claims management, cost optimization, and provider network access.
Differentiator
Problem solved
Functional benefit
Products and services
- Network Access & Claims Management Core TPA service providing cashless access to a medical provider network across 100+ countries, with case management and claims handling in 15+ languages, innovative payment card solutions, and API-first proprietary claims management software. Available 365 days a year for insurance partners and their policyholders.
- Cost Containment Service leveraging preferential rates and discounts across Medigo's network, regional benchmarking, creative billing detection, and negotiated prices, supported by a dedicated in-house medical team for thorough case management and invoice validation with German medical coding expertise. Designed for insurance partners seeking 5%–50% savings depending on market.
- Second Medical Opinion Service providing remote access to a global network of medical experts for diagnosis validation and treatment pathway review, aimed at improving recovery outcomes for policyholders.
- Medical Concierge Service providing multilingual medical concierge support including hospital accreditation guidance, coordination of international patient care, and member journey management across Medigo's global provider network of 5,200+ facilities.
Quantifiable outcome
- 5% to 50% savings depending on market
- +3 more outcomes
Companies that use Medigo
Customer profileSegments4 records
Ideal customer profiles3 records
Medigo technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature6 records
Medigo partnerships and signals
Strategic signalScale indicators11 records
Recent moves8 records
Expansion highlights5 records
Medigo competitors and assessment
Company assessmentDirect peers
- International Medical Group (IMG): IMG is a leading international travel and health insurance administrator serving globally mobile individuals. Like Medigo, it provides claims management, cost containment, and a global provider network, making it a direct peer in international health insurance TPA services.
- Global Excel Management: Global Excel is a specialized cost containment and claims management TPA for international health insurers, travel insurers, and reinsurers. Its risk-management and provider-negotiation capabilities closely mirror Medigo's core offering of cost containment and global claims handling.
- GeoBlue: GeoBlue provides international health insurance and assistance services for travelers and expatriates, with a focus on global provider networks and claims administration. It competes directly with Medigo for travel and expatriate health insurance TPA mandates.
- April International: April International specializes in international health, travel, and assistance insurance with in-house TPA capabilities. It serves similar expatriate and globally mobile customer segments as Medigo, making it a comparable specialist in the international health TPA space.
- Euro-Center Holding: Euro-Center is an international medical assistance and cost containment provider serving insurers and TPAs worldwide. Its medical network management and invoice validation services directly overlap with Medigo's core claims management and cost containment capabilities.
Broad incumbents
- AXA Partners: AXA Partners is the global assistance and insurance services arm of AXA, offering travel insurance claims management and assistance platforms. It overlaps with Medigo's travel insurer TPA segment at much greater scale and geographic breadth.
- Allianz Partners: Allianz Partners provides travel insurance, assistance, and international health services globally. Its travel insurance TPA and assistance platforms compete with Medigo for enterprise insurer partnerships, though at materially larger scale.
- Cigna Global Health (Evernorth): Cigna Global Health offers international health insurance with integrated TPA-style claims and provider network services. As one of the largest incumbents, it represents both a potential Medigo client and a competitive threat through in-house administration.
- Bupa Global: Bupa Global provides international health insurance and operates its own global provider and claims administration. Comparable to Medigo's offering for individual international health insurance, though typically larger in scale and direct-to-consumer.
Emerging players
- Now Health International: Now Health International is a fast-growing international health insurance provider with integrated claims and provider network management. Like Medigo, it targets globally mobile individuals with digital-first service and a curated global provider network.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Medigo social profiles
Digital presenceMedigo financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medigo leadership team
Management profileNumber of profiles
Profiles7 records
Medigo funding detail
Funding detailFunding overview
Funding rounds6 records
Investors8 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medigo M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medigo
What does Medigo do?
Medigo is a Third-Party Administrator (TPA) that delivers global healthcare administration services to health insurers, travel insurers, and other TPAs. Its core offerings include Network Access & Claims Management, Cost Containment, Second Medical Opinion, and Medical Concierge, all powered by an API-first proprietary claims management platform (MediClaim) and supported across 15+ languages in 100+ countries.
Is Medigo a public or private company?
Medigo is a private company. It is classified as venture growth investor backed and is currently operating.
When was Medigo founded?
Medigo was founded in 2013. It employs 11 to 50 people.
Where is Medigo based?
Medigo is headquartered in Berlin, Germany, in the Europe region.
How does Medigo make money?
Three revenue lines are on record. TPA Services - Claims Management is the primary driver. The others are network Access & Cost Containment and second Medical Opinion & Medical Concierge.
Who are Medigo's main competitors?
Direct peers on record are International Medical Group (IMG), Global Excel Management, GeoBlue, April International and Euro-Center Holding. Broad incumbents are AXA Partners, Allianz Partners, Cigna Global Health (Evernorth) and Bupa Global. Now Health International is listed as an emerging player.
Does Medigo have an API?
No public API is recorded for Medigo.
What industry is Medigo in?
Medigo's product category is Healthcare Third-Party Administration Services. Its primary akta.pro industry code is THALALAF, Assistance & Claims Management Platforms (FNOL, TPA Tech), with a secondary code of FSAIAEAK, Individual Health Insurance Administration (TPA/ASO). Its NAICS code is 524292 and its SIC code is 6324.