Fast approvals
An urgent MRI scan was approved within a few minutes after the customer explained the situation.
Umm Suqeim
Nextcare is a health-insurance Third Party Administrator (TPA) serving insurers and healthcare payers, with customer-facing support around medical approvals, claims and reimbursements. Reviews show it can help with requests such as an MRI scan or overseas medical-bill reimbursement, although response times vary sharply.
Source: Google Maps
An urgent MRI scan was approved within a few minutes after the customer explained the situation.
Customer care helped reimburse medical bills for treatment received in India.
One customer reported that a case was resolved within two days after follow-up.
A customer credited Nextcare with support through kidney stone, parathyroid and related lab-test treatment.
Some callers received detailed explanations about policy coverage and benefits from start to finish.
Keep records. Save emails and call logs so you can show your follow-up history if a claim stalls.
Request resubmission. If a clinic claim is rejected, ask the clinic whether it can resubmit after the reason is clarified.
Seek reevaluation. Ask for a formal re-evaluation when an initial approval or rejection appears incorrect.
Use backups. Do not rely only on the app or WhatsApp for urgent updates; one review found the requested information was missing there.
Allow time. Build extra time into clinic visits, as connecting with the call centre can sometimes take an hour.
Plan the visit
| Mon | 9:00 AM – 3:00 PM |
| Tue | 9:00 AM – 3:00 PM |
| Wed | 9:00 AM – 3:00 PM |
| Thu | 9:00 AM – 3:00 PM |
| Fri | 9:00 AM – 3:00 PM |
| Sat | Closed |
| Sun | Closed |
A child’s blood test request was initially declined but later approved.
Reviews mention support with resolving rejected prescription coverage and ensuring medicines were received.
The Lumi application is used alongside customer support, though one review found it did not provide requested information properly.
Several customers describe waiting three to four hours or longer for routine approvals.
Diagnostic requests can be rejected initially; one customer cited an iron profile labelled a non-declared condition.
A mandatory vaccination request for a one-year-old was rejected three times despite resubmissions.
A customer said a hospital emergency claim for a baby with a 40-degree fever was declined after resubmission.
Customer-service access can be difficult, including a reported 32-minute hold with no answer.
The Bottom Line
Nextcare is a health-insurance administrator and Third Party Administrator rather than a conventional clinic. Customers use its support for medical approvals, claims, prescription coverage and reimbursements, including hospital bills and treatment received abroad. Reviews specifically mention MRI scans, blood tests and surgery-related approvals, so the service can matter most when a clinic or hospital needs insurer authorisation before treatment.
The experience is uneven. Some cases moved quickly: one MRI was approved within minutes, another issue was resolved within two days, and a customer received help reimbursing treatment in India. Several reviews also describe clear guidance and persistent follow-up when a case reached the right support channel.
The main risk is delay or rejection. Customers report waiting one to four hours, more than eight hours, or even months for approvals, while others describe repeated requests for documents and rejections involving an iron profile, a mandatory vaccine and an emergency hospital visit. Phone queues can also be long, and the Lumi application and WhatsApp chat were criticised for incomplete information.
If you use Nextcare, keep every email and call record, ask the clinic about resubmission, and request re-evaluation when a decision seems wrong. For urgent care, allow substantial extra time and keep a direct follow-up route available.