1. Third Party Administrator (TPA Services) to Health Insurance Sector corporate TOP >>

• Beneficiary Enrolment Services
• 24 x 7 Call Centre & Help Line Management.
• Customer Relations Management.
• Cashless Hospitalization.
• Provider (Hospital) Billing Services.
• Claim Processing / Adjudication.
• Claim payments / Claim float management.
• Access services to Medical & Health Provider network.
• Beneficiary Enrolment Services.
• Medical Investigation services.

2. Pre-policy Processing & Health checkups – Life Insurance &Non-Life Insurance companies TOP >>

• Beneficiary Network of quality Diagnostic Centers.
• Beneficiary Network of physicians and consultants.
• Beneficiary Logistic Support.
• Beneficiary Call Centre - Health checkup related.
• Beneficiary Fixing up Appointments with Diagnostic Center as per the Proposer`s Convenience.
• Beneficiary Pre-requisites for tests and details of appointment conveyed to proposer.
• Beneficiary Reports received from DC are scrutinized for completeness and deficiency, if any retrieved from DC.
• Beneficiary Reports dispatched to insurance companies as per instruction.
• Beneficiary MIS as per requirement of Insurance Company.
• Medical Investigation services.

3. Claim Processing TOP >>

• Beneficiary Pre-authorization for cashless hospitalization.
• Beneficiary Claims review and analysis.
• Beneficiary Payment of claims.
• Beneficiary Provider Payments and Float management.

4. Claim Investigation TOP >>

• Medicalim
• Death Claim

5. Wellness Programme for Corporate & Groups & Individuals TOP >>

• Annual health checkup for employees.
• Pre-employment checkups.
• Stress management programmes.
• 24 X 7 Medical Helpline – Call Centre.
• Medic & Paramedic services.
• Health counseling / Seminars & Workshops.

6. Empanelment of MSP (Medical Service Providers) TOP >>

• Ties for Providers
• Presently serving - a) Birla Sunlife. b) TATA-AIG.