What is TPA ?
TPA means Third Party
Administrators who are licensed by The Govt. Of India through IRDA
to act as Insurance Intermediary to provide services of health care
management on behalf of any Insurance Company in India or any
department under any State of Central Govt. who provides insurance
cover, within the terms conditions and exclusions expressed in a
contract of insurance usually called as Mediclaim Policy, issued to
general public by such insurance company, by interacting with
Health Care Providers such as Hospitals Nursing Homes or any
establishment set up to cater to the medical needs of the insuring
public, for an agreed fee as remuneration for such services.
Job of the TPA
Policy collection from Branch office and Divisional office of the
insurance companies. To maintain the database of policyholders and
issue the
photo Identity card with unique number and guide book. 24-hour toll-free phone number, which can be accessed from anywhere in the
country. Hospital empanellement to provide the cashless facility or pre
hospitalization. Handling the Cashless and
Re-imbursement claims. Issue the payment to insured/hospital against the claims
Consider Medsave
is your TPA
Policy collection
process is done from insurance companies.
To maintain the database of policyholders
Medsave
is using
high tech configuration server.
24X7 call center Automated Call Distribution software
25 telephone lines
Toll free number [ 1800111142 ] with 10 hunting lines can be reached from
anywhere in India.
All India Help Line – Local Call – one Number - 39001234
16 work stations
Call center is supported by in-house developed software
Operates a Medical Network of more than 3000+ hospitals.
Medical Team of 36 Doctors with 24 hour assistance to meet
any emergency. Cashless Authorization within 4 hours of receiving
Pre-Authorization from Hospital.
Medsave
uses customized software for claim processing. Automated and real - time access of claim information. Complicated cases referred to our panel of specialized Doctors. Original Bills are verified & scrutinized against Discounted
Tariffs Automated Claim MIS Reporting System.
Medsave
releases the payment after the authorization of
different departments
Claim process is done with high security software with
checking admission, policy period, Inclusion, exclusion, limit balance
etc. Medsave
Doctors Audit Department Finance Department
Policy collection from Branch office and Divisional office of the
insurance companies. 
Automated Call Distribution software 
