What is the full form of TPA?
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What is the full form of TPA?
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The full form of TPA is Third Party Administrator.
It is an organization that process insurance claims or other benefit plans acceptable under the mediclaim policy.
It works as a bridge between the Insurance company, healthcare provider and the insured person.
TPA is licensed by Insurance Regulatory Development Authority (IRDA) in 2001.
Nowadays TPA plays an important role in the Healthcare industry, every insurance company has TPA service for insured person service. In hospitals, it will take care of all the medical expenses. during hospitalization, TPA can either approve the cashless claim or reimburse the bill later.
Role of TPA
A TPA plays an essential role in the health insurance company and claim processing:
TPA is Responsible for a smooth process of cashless treatment during hospitalization.
TPA manage hospital chain network, and also responsible for build new hospital network.
TPA provides a 24X7 customer care facility, where customers can get all details about hospital network, claim status or claim eligibility.
TPA is responsible for maintaining policyholder records. issue health card to the insured person, grievance handling.
Benifits of TPA
TPA helps the customer in various health insurance processes during hospitalization. like claim settlement, details about the hospital chain cashless facility or bill reimbursement.
TPA provides Lower insurance premiums.
TPA provides 24x7 customer service facility.
TPA monitor false claim and restrict the possible fraud by the hospital, like unnecessary treatments.
Popular TPA in India
Vidal Health TPA Pvt. Ltd.
Park Mediclaim TPA Pvt. Ltd.
Heritage Health TPA Pvt. Ltd.
Focus Healthservices TPA Pvt. Ltd.
Good Health TPA Services Ltd.
Paramount Health Services & Insurance TPA Pvt. Ltd.
Medi Assist India TPA Pvt. Ltd.
United Healthcare Parekh TPA Pvt. Ltd.
