HOW TO AVAIL CASHLESS MEDICLAIM FROM THIRD PARTY ADMINISTRATORS?
Q.
What is a Third Party Administrators (TPA) & What is its function?
How
does it work?
Third
Party Administrators (TPA ) is an important link between Insurance
companies policyholders & Healthcare Providers (Hospitals and
Nursing Homes).TPA’s role is to provide administrative support to
the insurance companies for servicing their insurance policies.
Service
offered by TPA for policyholder & Health care provides &
Healthcare Provider.
1
Cashless Hospitalization:
Each policyholders 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
cardholder, etc is furnished on request.
Remember
If you have a medical insurance please check out the following
details:
• Have you received the insurance cards from Third Party Administrator? If not contact your agent or TPA.
