TPA

TPA stands for Third Party Administrator. It is an intermediary company between an insured and insurer. It provides a supporting role to the insurer in terms of claim settlement. This body obtains a license from IRDA in order to function in the insurance industry.

TPA / INSURANCE

TPA stands for Third Party Administrator. It is an intermediary company between an insured and insurer. It provides a supporting role to the insurer in terms of claim settlement. This body obtains a license from IRDA in order to function in the insurance industry. The third party administrator knows all the aspects of health insurance. The crucial role of any TPA is to approve the claim on the basis of knowledge of coverage and exclusion. An insurer can either take the route of in-house claim processing team or there could be a TPA. Policyholder can’t choose between the two.

TPA FOR FACILITATING INSURANCE SERVICES

Third Party Administrators is an important link between Insurance companies, policyholders & healthcare providers in servicing health insurance.

TPAs are remunerated by insurers and remuneration is fixed on mutually agreeable terms. However IRDA lays down a maximum ceiling on the commission that can be given to a TPA, which stands at 15 percent of the premium amount. Each TPA may tie-up with any number of insurers and like wise each insurance company can empanel any number of TPAs.

BENEFITS TPA

The Insurance industry in India has experienced a sea change since emergence of private participation. Health insurance is a mechanism to finance the health care needs of the people. To manage the problems arising out of increasing health care costs, the health insurance industry had assumed a new dimension of professionalism with TPA.

The core service of a TPA is to ensure better services to policyholders. Their basic function is to act as an intermediary between the insurer and the insured and facilitate cash less service at the time of hospitalization.

For bookings anil@prontohealthcares.in; For customer support cares@prontohealthcares.in

TPA

TPA / INSURANCE

TPA FOR FACILITATING INSURANCE SERVICES

BENEFITS TPA

Pronto Healthcare solution Mailing address

Contact Info