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TPA Services

• Cash less and hassle free hospitalization benefits at network hospitals/ nursing homes
• Member enrollment, benefit confirmation, on-line profile management
• Empanelment of service providers, negotiation of tariffs and discounts
• Helpline and Customer Support
• Claims adjudication and payment
• Analytics/Under Writing Support

Claims Administration ( Cost / Fraud )

• Our claims administration capabilities encompass insured assistance, claim pre-certification, adjudication and settlement.
• We administer a variety of self-insured medical benefits plans for clients nationwide.
• Our tailored administration services provide flexibility and control to clients.
• We have access to health care networks nationwide and have an in-house pre-certification program for cashless treatment in these provider networks.
• We also provide stop-loss administration for our clients by administrating Fraud control system and real time estimating of loss reserves.

Health Care Network

• We are ready to meet your organization's health care needs whether you have Insured at a single location or at multiple locations nationwide.
• We work in concert with clients to find positive solutions to their health care plan objectives.
• Our strategy is to find a balance between Insured access and cost savings.

Pre Policy Health Check-Up

• Empanelment of Diagnostic centers after due diligence.
• Finalisation of rates, tariffs and document templates for different insurance companies.
• Member health-check up-fixing appointment and communication, picking up reports.
• Digitizing reports and uploading for on-line access.
• MIS and Analytics.