What is TPA in Health Insurance

Hello sir I want to know what is TPA in Health Insurance so here can you please give ,me its details ?

[Shaleen]

Hey as A third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity.

Features

All the records are passed on to the TPA and all the correspondence of the insured remains with the TPA.

TPA issues identity cards with unique identification numbers to policy holders and handles all issues related to their claim settlements.

TPA runs a 24-hour toll-free number, which can be accessed from anywhere in the country.

They have full-time medical practitioners under their employment who take decision whether the ailment is covered under the policy or not.



Benefits of TPA to the insurance world include:

Faster and focused claims management

Lower overhead cost and reduced cost of claim management

Immediate access to highly trained claim administrators

Improved control over claims outcomes

Provision of cashless services at much ease

Safeguarding of customer relationships

Protection of brand reputation.

Control of possible frauds by the private healthcare providers