NEXTCARE
Nextcare is a Dubai-based Third Party Administrator (TPA) and indirect subsidiary of Allianz Partners, providing health insurance administration, claims processing, and digital health services to 165+ insurers, self-insured employers, and 5 million insured members across 10+ MEA countries.
- Company typePrivate
- Founded1999
- HeadquartersDubai, United Arab Emirates
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
What NEXTCARE does
Nextcare Claims Management LLC is a Third Party Administrator (TPA) for health insurance, founded in 1999 in Lebanon and headquartered in Dubai, UAE. The company operates as an indirect subsidiary of Allianz Partners SAS and serves approximately 5 million insured members across 10+ countries in the Middle East and Africa, including the UAE, Saudi Arabia, Lebanon, Egypt, Kuwait, Qatar, Bahrain, Oman, Tunisia, and Morocco. Nextcare's customer base spans 165+ insurance companies, self-insured employers, brokers, and government entities, supported by a contracted network of 13,000+ regional and 400,000+ global healthcare providers.
The company operates an integrated cloud-based health insurance administration platform comprising the Lumi mobile app and MyNextcare web portal for insured members, the PULSE provider portal for healthcare providers, and the Tatsh platform for insurer partners. Functional capabilities include eligibility verification, pre-authorizations, claims processing, direct-billing settlement, and digital member services such as a Health e-Card (replacing physical insurance cards), appointment booking, telehealth video consultations via Health at Hand, and an AI-powered Symptom Checker developed by Infermedica. Operational scale includes over 23 million medical claims processed, $2.6 billion USD in premium under management, and $1.9 billion USD in claims under management.
Nextcare generates revenue through negotiated, multi-year TPA and health insurance administration contracts with insurers, self-insured employers, brokers, and government entities. Fees cover claims management, eligibility verification, pre-approvals, provider network access, and digital platform services on a recurring basis. Pricing is not publicly disclosed. The go-to-market is sales-led B2B with direct enterprise sales targeting insurers and employers, supplemented by broker distribution and member-facing digital channels (Lumi app, MyNextcare portal) for member engagement and adoption of digital health services.
NEXTCARE firmographics
Firmographics- Name
- NEXTCARE
- Legal name
- Nextcare Claims Management LLC
- Website
- https://nextcarehealth.com
- Company type
- Private
- Founded year
- 1999
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Nextcare is a Dubai-based Third Party Administrator (TPA) and indirect subsidiary of Allianz Partners, providing health insurance administration, claims processing, and digital health services to 165+ insurers, self-insured employers, and 5 million insured members across 10+ MEA countries.
- Ownership category
- akta.pro rank
NEXTCARE industry classification
Industry- Product category
- Health Insurance Third Party Administration (TPA)
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Agencies, Brokerages, and Other Insurance Related Activities (5242)
- SIC
- Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Member Services & Contact Center Operations (TPA) (HLAEALAI)
- akta.pro secondary industries
- Care Management & Population Health Program Administration (HLAEALAG), Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)
Keywords
Where NEXTCARE is headquartered
LocationHeadquarters
- HQ city
- Dubai
- HQ country
- United Arab Emirates
- HQ region
- Middle East
Offices7 records
Markets served
NEXTCARE business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- TPA and Health Insurance Administration Fees: Nextcare generates revenue by providing Third Party Administration (TPA) services to health insurers, self-insured employers, brokers, and government entities. Fees are charged for claims management, eligibility verification, pre-approvals, provider network access, and digital platform services. This is a B2B service model where insurance companies and employers pay for the administrative infrastructure that serves their insured members.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | TPA services for insurers and healthcare payers — pricing negotiated per contract. |
Go-to-market motion1 record
Distribution channels6 records
Marketing channels5 records
NEXTCARE product offering
Product offeringCore offering
Nextcare is a Third Party Administrator (TPA) providing end-to-end health insurance management services to insurance companies, self-insured employers, brokers, and government entities across the Middle East and Africa. Its core offering includes claims processing, eligibility verification, pre-approval workflows, provider network access, and member-facing digital services via the Lumi mobile app and MyNextcare web portal, supplemented by telehealth, AI symptom checking, and digital insurance cards.
Product overview
Nextcare is a Third Party Administrator (TPA) providing comprehensive health insurance management solutions as part of Allianz Partners. The product portfolio centers on the Lumi App (mobile) and MyNextcare Portal (web) as the primary member-facing platforms, supplemented by the PULSE Portal for healthcare providers and the Tatsh Platform for insurer partners. The integrated ecosystem includes digital insurance services (Health e-card, claims submission and tracking), healthcare network access, telehealth (See A Doctor), AI-powered symptom assessment (Symptom Checker by Infermedica), and appointment booking. Core backend services handle eligibility verification, pre-authorization, claims processing, and provider network management across 13+ countries.
Differentiator
Problem solved
Functional benefit
Brands
- Lumi App: Mobile application for insured members to manage claims, view policy benefits, access digital insurance cards, book appointments, and consult doctors via video.
Products and services
- Lumi App Primary mobile application for insured members to manage health insurance benefits, view digital insurance cards, track claims, search healthcare providers, access telehealth (See A Doctor), and check symptoms via the AI-powered Symptom Checker.
- MyNextcare Portal Web-based member portal for insured members to submit and track claims, view policy benefits, find healthcare providers, and access digital insurance services.
- PULSE Portal Web portal for healthcare providers (hospitals, clinics, pharmacies, laboratories) to verify patient eligibility, submit pre-authorization requests, check claims status, and process reimbursements.
- Tatsh Platform Proprietary platform for insurer partners providing real-time claims submission, automated portfolio management, and transparent claims processing capabilities.
- See A Doctor (Telehealth) Video consultation telehealth service providing access to qualified doctors from anywhere in the world with no co-pay, including prescription delivery and lab test request capabilities in Dubai.
- Symptom Checker AI-powered digital symptom assessment tool that analyzes user-reported health symptoms and suggests potential conditions or recommended next steps.
- Third Party Administration (TPA) Services End-to-end health insurance administration services for insurance companies, self-insured employers, brokers, and government entities, including eligibility verification, pre-approvals, claims processing, and member services.
- Healthcare Provider Network Extensive contracted network of hospitals, clinics, laboratories, pharmacies, and individual doctors enabling direct settlement of medical bills and access to care for insured members.
- Claims Management End-to-end claims processing system handling submission, pre-approval, processing, and reimbursement of medical claims for insured members across network and out-of-network providers.
Quantifiable outcome
- Over 23 million medical claims processed
- +5 more outcomes
Companies that use NEXTCARE
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
NEXTCARE technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability2 records
Feature8 records
NEXTCARE partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered supporting and core.
- InfirmarycasupportingInfirmaryca developed the AI-powered Symptom Checker tool integrated into Nextcare's Lumi app and digital platforms. The tool uses AI algorithms to analyze users' health symptoms and suggest appropriate next steps or care paths, enhancing Nextcare's digital health offerings.
- Health at HandcoreHealth at Hand, a DHA-licensed telehealth provider in the Middle East, partnered with Nextcare to provide video consultation services to Nextcare's insured members. Members can consult doctors from anywhere in the world with no co-pay through the MyNextcare app. In Dubai, prescription delivery within 60 minutes and lab test requests are available through the app. This partnership extends Nextcare's e-health capabilities and supports continuity of care.
- Allianz PartnerscoreNextcare is an indirect subsidiary of Allianz Partners SAS. As part of Allianz Partners, Nextcare benefits from global brand recognition, cross-selling opportunities within the Allianz network, shared technology investments, and a global footprint. Allianz Partners is a worldwide leader in insurance and assistance, providing Nextcare with strategic backing and operational synergies across regions.
- Healthcare Providers (13,000+ regionally, 400,000+ globally)coreNextcare contracts with over 13,000 healthcare professionals regionally and over 400,000 globally including hospitals, clinics, laboratories, pharmacies, and individual doctors. These providers form the core network through which Nextcare offers direct settlement of claims for insured members. Members can access these services by presenting their insurance card or national ID.
- Insurance Companies (120+ partners)coreNextcare serves as Third Party Administrator for over 120 insurance companies and healthcare payers across the MEA region. These insurer partners outsource claims administration, eligibility management, provider network access, and member services to Nextcare's platform.
- Tatsh PlatformsupportingNextcare provides insurer partners with access to the Tatsh platform, enabling real-time claims processing, transparency, and automated portfolio management. The Tatsh platform is a proprietary technology solution connecting Nextcare with its insurance company clients.
Scale indicators9 records
Recent moves9 records
Expansion highlights6 records
NEXTCARE competitors and assessment
Company assessmentDirect peers
- MedNet: MedNet is one of the largest Third Party Administrators for health insurance across the MEA region, offering claims management, provider network access and digital tools. It is the most direct competitor to Nextcare in both geography and service scope.
- Globemed (Gulf Related): Globemed is a leading MEA health insurance TPA with a regional provider network and member-facing digital services, competing with Nextcare for insurer and self-insured employer contracts across the GCC and Levant.
Broad incumbents
- Daman (National Health Insurance Company): Daman is the largest health insurer in the UAE and also operates TPA-style administration for major public accounts. It is a broader incumbent that overlaps with Nextcare's TPA capabilities while also underwriting risk directly.
- Bupa Arabia: Bupa Arabia is the largest specialized health insurer in Saudi Arabia with strong in-house claims administration, a national provider network, and digital member tools — a broad incumbent that competes with Nextcare on large corporate accounts in KSA.
- Tawuniya (Cooperative Insurance): Tawuniya is one of the largest Saudi insurance groups offering health products with proprietary claims administration and provider networks. It is a broad regional incumbent whose in-house TPA function competes for similar insurer and corporate clients.
- AXA Insurance MENA: AXA MENA is a large multi-line insurer in the region with significant health administration capabilities and corporate accounts. It competes for self-insured employer and broker-driven mandates that Nextcare also targets.
- ADNIC (Abu Dhabi National Insurance Company): ADNIC is a leading UAE insurer with strong group health and TPA-style administration capabilities. It serves similar enterprise and government clients in the Gulf and competes with Nextcare on regional corporate accounts.
Others
- Allianz Care: Allianz Care is the international health insurance arm of Allianz Partners, and Nextcare's corporate sibling. It is comparable as a sister TPA/health-administration platform serving global clients, with cross-sell and shared technology.
Emerging players
- Sedgwick: Sedgwick is a global claims management and TPA provider expanding into health and benefits administration. It is comparable as a third-party administrator at scale serving insurers and employers with similar outsourced service models.
- Crawford & Company: Crawford & Company is a global claims and third-party administration firm with healthcare administration capabilities for insurers and self-insured plans. It is comparable as a multi-country TPA serving large payer clients, though its footprint in MEA is limited.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
NEXTCARE social profiles
Digital presenceNEXTCARE financial estimates
Financial estimateRevenue estimate
Valuation estimate
NEXTCARE leadership team
Management profileNumber of profiles
Profiles3 records
NEXTCARE funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
NEXTCARE 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 NEXTCARE
What does NEXTCARE do?
Nextcare is a Third Party Administrator (TPA) providing end-to-end health insurance management services to insurance companies, self-insured employers, brokers, and government entities across the Middle East and Africa. Its core offering includes claims processing, eligibility verification, pre-approval workflows, provider network access, and member-facing digital services via the Lumi mobile app and MyNextcare web portal, supplemented by telehealth, AI symptom checking, and digital insurance cards.
Is NEXTCARE a public or private company?
NEXTCARE is a private company. It is classified as corporate owned and is currently operating.
When was NEXTCARE founded?
NEXTCARE was founded in 1999. It employs 1,001 to 5,000 people.
Where is NEXTCARE based?
NEXTCARE is headquartered in Dubai, United Arab Emirates, in the Middle East region.
How does NEXTCARE make money?
One revenue line is on record: TPA and Health Insurance Administration Fees.
Who are NEXTCARE's main competitors?
Direct peers on record are MedNet and Globemed (Gulf Related). Broad incumbents are Daman (National Health Insurance Company), Bupa Arabia, Tawuniya (Cooperative Insurance), AXA Insurance MENA and ADNIC (Abu Dhabi National Insurance Company). Allianz Care is listed as an others. Emerging players are Sedgwick and Crawford & Company.
Does NEXTCARE have an API?
No public API is recorded for NEXTCARE.
What industry is NEXTCARE in?
NEXTCARE's product category is Health Insurance Third Party Administration (TPA). Its primary akta.pro industry code is HLAEALAI, Member Services & Contact Center Operations (TPA), with a secondary code of HLAEALAG, Care Management & Population Health Program Administration. Its NAICS code is 524292 and its SIC code is 6411.