MGA Assessoria Medica

What MGA Assessoria Medica does

MGA Assessoria Medica (legal entity MGA ASSESSORIA MEDICA LTDA) is a privately-held Brazilian medical consulting firm founded in 2010 and headquartered in Cajamar, São Paulo, with a secondary office in São Paulo city. The company provides intermediary and administrative services to individual physicians, medical clinics, and allied health professionals seeking to navigate Brazil's private health insurance (convênio) system, including medical credentialing (credenciamento médico), bariatric surgery authorization (claiming a 97% approval rate), medical billing and faturamento (including XML submission and glosa appeals), CNES (National Health Establishment Registry) registration and maintenance, and adjacent services such as second medical opinions, document management, market analysis for new practice locations, and health tourism facilitation.

The business operates without proprietary technology platforms: its core technology is the human-expert delivery of services by trained analysts and consultants specializing in health-insurance processes. The service suite is delivered through a direct, sales-led go-to-market model, with lead capture via the company website (mgaassessoriamedica.com.br), phone, and WhatsApp, and conversion through personalized, quote-based engagements. There is no software product, no mobile app, no APIs or SDKs, and no AI/ML capabilities disclosed.

MGA generates revenue through professional-services fees across multiple service lines, sold transactionally to SMB healthcare providers across Brazil, with primary operational density in São Paulo state. The firm has operated independently for 14 years with no disclosed external investment, no parent company, no subsidiaries, and no public reporting of financial results. Approximately 15 medical clinics across diverse specialties (ophthalmology, orthopedics, nephrology, thorax, general practice) are listed as clients, indicating an SMB-distributed customer base with low concentration risk but also limited scale relative to the broader Brazilian private healthcare market, which has over 46 million health plan beneficiaries nationally.

Name

MGA Assessoria Medica

Legal name

MGA ASSESSORIA MEDICA LTDA

Website

https://mgaassessoriamedica.com.br

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

MGA Assessoria Medica is a privately-held Brazilian medical consulting firm that provides credentialing, billing, and authorization services to physicians, clinics, and allied health professionals seeking to work with private health insurance operators in Brazil.

Ownership category

akta.pro rank

Product category

Healthcare Administrative Consulting

SIC

Insurance Agents, Brokers & Service (6411), Services-Engineering, Accounting, Research, Management (8700)

akta.pro industry

PRIMARYFSAEADAK

Insurance Program Administration & MGA/MGU Services

Financial & Insurance/Financial Advisory, Brokerage & Intermediation/Insurance Brokerage & Risk Advisory

Keywords

• Medical credentialing services
• Health insurance accreditation
• Medical billing services
• Bariatric surgery authorization
• Healthcare administration consulting

Headquarters

HQ city

São Paulo

HQ country

Brazil

HQ region

Latin America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Medical Accreditation Services: Intermediary services for medical professionals and clinics seeking accreditation with health insurance operators. The company handles the bureaucratic process of credenciamento junto a convenios (health plan credentialing).
2. Bariatric Surgery Authorization: Authorization services for bariatric surgery through health insurance plans, including documentation preparation and administrative follow-up.
3. Medical Billing Services: Outsourced medical billing services (faturamento de contas medicas) including procedure launching, patient registration, XML file submission, physical document submission, and glosa (claim denial) appeals.
4. CNES Registration Services: Registration and maintenance services for the Cadastro Nacional de Estabelecimentos de Saude (CNES) - National Registry of Health Establishments.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

MGA Assessoria Medica is a Brazilian professional services firm that intermediate medical credentialing between healthcare professionals/clinics and health insurance operators (operadoras de saúde). The company handles the bureaucratic process of credenciamento (accreditation), bariatric surgery authorization, medical billing (faturamento) including glosa appeals, and CNES registration, allowing physicians and clinics to access health plan networks and offload administrative tasks.

Product overview

MGA Assessoria Medica is a medical consulting/advisory company offering an integrated suite of services for healthcare professionals and clinics. The core offerings include Credenciamento Médico (medical accreditation with health insurance operators), Autorização de Cirurgia Bariátrica (bariatric surgery authorization), Faturamento (medical billing), and CNES registry management. Supporting services include Recursos de Glosas (claim denial appeals), Segunda Opinião Médica (second medical opinions), Gestão Documental (document management), and Análise de Mercado (market analysis). The company has been operating for 14 years in the Brazilian healthcare market.

Differentiator

Problem solved

Functional benefit

Products and services

• Credenciamento Medico (Medical Credentialing) Medical accreditation service that acts as intermediary between healthcare professionals and clinics and health insurance operators, facilitating enrollment and credentialing with health plans to expand a practice's patient base.
• Autorizacao de Cirurgia Bariatrica (Bariatric Surgery Authorization) Authorization service that assists patients and physicians in obtaining health insurance approval for bariatric/weight reduction surgeries, including documentation preparation and bureaucratic navigation. Reported 97% approval rate.
• Faturamento (Medical Billing) Medical billing service that handles procedure launches, patient registrations, XML file submissions, physical material sending, and medical bill appeals (glosa resources) for healthcare providers.
• CNES - Cadastro Nacional de Estabelecimentos de Saude Service that manages and maintains the National Health Establishment Registry (CNES) records required for health clinics and medical offices to operate legally and participate with health insurance plans.
• Analise de Mercado (Market Analysis) Market analysis service providing information about local competitors and potential clients, helping medical professionals identify viable locations for their practices.
• Recursos de Glosas (Claim Denial Appeals) Medical bill review and appeals service that analyzes hospital accounts and helps reduce claim denials through proper guidelines and documentation. Part of the broader faturamento offering.
• Segunda Opiniao Medica (Second Medical Opinion) Second medical opinion service providing quality medical evaluations across multiple specialties to support patient diagnosis decisions.
• Gestao Documental (Document Management) Document management service that handles necessary protocols and documentation for medical procedures and insurance processes.
• Turismo em Saude (Health Tourism) Health tourism service that supports patients in touring hospitals and selecting the best facility for their surgical procedures.

Quantifiable outcome

• Bariatric surgery authorization approval rate of 97% of cases

Named customers15 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• eClinicalWorks: Provider of EHR, practice management, and patient engagement software to physician practices. Comparable to MGA in serving the operational and billing workflow needs of ambulatory medical providers.
• MV Sistemas: Brazilian healthcare information systems provider serving hospitals, clinics, and physicians with management software including billing, scheduling, and credentialing workflows. Directly comparable to MGA's administrative-services offering, though delivered via technology rather than human services.
• R1 RCM: US-based company specializing in medical billing, coding, and revenue cycle management services for healthcare providers. Directly comparable to MGA's faturamento and glosa appeals services, though operating at significantly larger scale.
• NextGen Healthcare: Provider of ambulatory EHR, practice management, and revenue cycle management solutions for physician practices. Comparable to MGA in targeting the administrative and billing needs of outpatient medical clinics, with overlapping customer profiles.

Broad incumbents

• TOTVS: Largest Brazilian enterprise software company with a dedicated healthcare vertical offering practice management, billing, and clinical systems. Comparable to MGA because it addresses the same administrative back-office needs of medical practices, though through a software rather than services model.
• Athenahealth: US-based provider of cloud-based practice management, medical billing, and electronic health record services. Comparable to MGA in addressing the revenue cycle management and administrative workflow needs of physician practices at scale.
• Optum: Diversified health services and innovation company that includes physician practice management, billing, and payer-provider intermediary services. Comparable to MGA in operating as an administrative intermediary between providers and health plans, but at vastly larger scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/assessoria_mga
• Facebookfacebook.com/mgaassessoriamedica
• LinkedInlinkedin.com/company/mgaassessoriamedica

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MGA Assessoria Medica