Saturday, 20 January 2018

Smart Things to Know about Third Party Administrator (TPA)






TPAs function as Intermediaries between the Insurance Provider and the Policy Holder. Its key function is processing of Claims & Settlements. The TPAs issues ID Cards to Policy Holders which have to be shown to the Hospital Authorities during any Cashless Hospitalization Services.

At the time of a Claim, a Policy Holder should inform to the TPA. Policy Holder informing to the Hospital that TPA and Policy Holder are connected to each other directly. Claim Payment will be given back to Policy Holder.

The TPA issues an authorization letter to the Hospital, after which they track the case and at Discharge all Bills are sent to TPA for Payments.

TPA sends all the documents necessary for consideration of Claims along with Bills to the Insurer. 


For More Details Visit: LifeLine Insurance & Financial Expert

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