pays for your hospital bills for diagnostics, surgery etc.
Third Party Administrator (TPA) is a connecting link between Health Insurance companies, healthcare service providers and policyholders. TPAs play a big role in health insurance sector. They provide cashless services at the hospitals to policyholders, and later get the amount reimbursed by the party concerned.
What is best about TPAs is their ability to help the needy health policyholders at all stages like selection of specialists, hospitals, cashless accessibility, and cost control of hospital claims. They are indeed a great help to both Mediclaim subscribers and hospitals. They are a new breed of intermediaries in insurance sector. Introduction of this new breed in this sector are a benefit to both Insurer and insured. They enhance the performance of the health system and improve the overall health and well-being of the people.
Policyholders welcome the introduction of third party administrators because they get access to enhanced facilities at the same price. These professionals handle everything on behalf of the subscribers. Even the insurance service providers rely on them as they help them get all actual data they are looking for.
In a nutshell, TPAs are an integral part of health insurance sector. They protect and improve customer relationships, control frauds and help in reducing cost of Claim management. The core services of these service providers remain very important, to ensure better services to individuals who subscribe for health insurances.