TPA, or Third-Party Administrator, is an agency or organisation that holds a registered license from the Insurance Regulatory and Development Authority of India (IRDAI) and handles some of the most important aspects of health insurance. It does so by working as intermediates between an insurance company and the insured. The prime services of TPA include processing health insurance claims and providing their clients best of services like cashless facilities, accepting requests and much more. Read on to explore the advantages of TPA in health insurance.
What are the Advantages of TPA in Health Insurance?
The advantages of TPA in Health Insurance are mentioned below:
-
Issues health cards to the policyholders:
TPA’s are responsible for providing ID cards to the policyholders. The health card will help the insured person to show up to the network hospital to avail of cashless treatment.
-
Coordinates with the policyholders:
TPA’s are responsible for providing the insured persons with all benefits mentioned in the health insurance policy by directing them to hospital personnel so that the insured person can avail treatment in the best possible way without hassle.
-
Issue authorization letter to the hospital:
Once a policyholder or an insured person files a claim, the TPA is responsible for verifying the claim mentioned that meets the terms and conditions of the policy. The TPA Mediclaim will ensure the policyholder gets the best treatment from a network hospital and help to avail cashless treatment.
-
Arrange value-added services:
Apart from the claim processing, a TPA is also entitled to deliver services like availability of beds, specialised consultation, wellbeing programmes, and medicine supplies.
-
Strengthens the hospital networks:
A Third Party Administrator (TPA) Mediclaim builds a strong network with the management team of hospitals that looks after health insurance claims and provides full assistance to insured persons to avail best possible treatment and later facilitates claim settlement without any hassle.
Conclusion
TPAs are an integral part of health insurance companies that help a policyholder take care of the family during treatment in peace. TPAs also ensure that their customers have access to the highest quality of service and support them physically and mentally. TPA ensures good networking with hospitals and provides hassle-free services to their clients.
Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis, or treatment. Please consult your general physician or another certified medical professional for any questions regarding a medical condition. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.