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SERVICES    
 
600000 Medical Checkups | 500000 TPA Members | Network of 3500 DC`s & Hospitals

1.Third Party Administrator (TPA Services)

2.Pre-policy Processing & Health checkups

3.Claim  Processing/ Adjudication

4.Claim Investigation

5.Wellness Programme for Corporate & Groups & Individuals

6.Empanelment of MSP (Medical  Service Providers)

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

  • 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.

    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 -

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