Services

Third Party Administration Medical Assistance Claims Processing & Settlement Additional Services Projects

Third Party Administration 24 hrs assistance  Cashless service facilitation at network hospitals  Claim processing, claims filing, liaison with insurance company, etc.  All India coverage – 34 branch offices.  3000+ Hospitals/Nursing homes all over India covering 182 cities  Tariff rationalization and provider accreditation  Servicing insurance companies for their specific need

Medical Assistance 24 hr emergency ambulance services in selected cities Priority admissions in hospitals Outpatient health care facilitation to corporate clients Access to worldwide network of medical providers Discount at medical network of physicians, specialists, laboratories, diagnostic centres, hospitals, nursing homes and pharmaceuticals

Claims Processing & Settlement Claims received directly from hospitals (cashless cases) or from members. Provision to receive claim electronically Data processing service Member/Customer enrollment Bill scrutiny and admissibility Medical procedure audit Adjustment of hospital discount on bills Settlement/payments of claims  Reimbursement from insurance company/corporate. Medical record retrieval

Additional Services

Projects Third Party Administration for Nationalized Govt. Insurance Companies. TPA services for Bhai Ghanaiya Health Scheme. TPA services for Tsunami Victims - Promoted by Govt. of India. TPA services for Employees of various Banks like Syndicate Bank, Indian Overseas Bank, Indian Bank, SBH, Bank of Maharashtra etc. LIC has allocated us three states of India for servicing their Health Policy.