What is a Third Party Administrator (TPA) & How does it work?
Third Party Administrators (TPA) is an important link between Insurance company’s policyholders & healthcare providers (Hospitals and nursing homes).TPA’s role is to provide administrative support to the insurance companies for servicing their insurance policies.
1. Cashless Hospitalization : Each policy holders is provided with a list of empanelled hospitals where in he/she can avail cashless hospitalization
2. ID card : TPA provides ID cards to all their policy holder in order to validate their Identity at the time of admission
3. Claims Management : On behalf of insurance companies TPA administers & settle claims for hospitals & policyholders
4. 24 hours customers support services : TPA provides assistance through its 24 hrs call center information regarding policyholder’s data, provider network, claim status, benefits available with existing card holder, etc is furnished on request.