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Welcome To Ericson Insurance TPA Pvt. Ltd

We have developed our own state-of-art claims IT system, and we are in process to built up tone of the largest direct billing hospital (Cashless) network hospitals across the India. We are in better position to provides full-range comprehensive health insurance services, including, enrollment, claims processing, pre-authorization, case management, emergency assistance, network maintenance and other customer services right in all over india. Innovation, flexibility, speed and superior service are the hallmarks of our commitment to our valued clients. We are ready to provide you with the best customer service for now and in the future.

Our Services

  • 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.

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  • 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.

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  • 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.

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  • Pre Policy Health Check-Up

    Cash less and hassle free hospitalization benefits at network hospitals/ nursing homes Member enrollment, benefit confirmation, on line profile management Empanelment of service.

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Our Clients

FAQs & Downloads

Health Insurance is protection against medical costs. A health insurance policy is a contract between an insurer and an individual/group in which the insurer agrees to provide specified health insurance cover at a particular premium. The health insurer usually provides either direct payment or reimburses the expenses associated with illnesses and injuries

Ericson Insurance TPA Pvt. Ltd as a TPA has entered into agreements with a set of hospitals (called Network Service Providers) where the member can avail hospitalization services on the basis of an authorization provided by Ericson TPA. The member does not pay for his treatment up to the limit authorized provided it is covered by the policy and only pays the non covered expenses and any excess over the authorized limit. This saves the need for the member to arrange for cash to pay to the hospital.

Cashless Hospitalization fall under two circumstances Planned and Emergency. Pre authorization of the estimated hospital expense is a must to avail this facility. In the case of planned hospitalization or admission, you would have first consulted a doctor who in turn would have advised you on the probable date or time of hospitalization. In such a case, you are required to apply for a pre authorization to Ericson Insurance TPA Pvt. Ltd at least 3 - 4 days prior to the date of hospitalization. We suggest you to call Ericson Insurance TPA Pvt. Ltd immediately to intimate and take advice on the cashless process.

Reimbursement Claim is the process of a member applying for financial reimbursement in line with the terms of the policy, having paid his hospitalization expenses out of his own resources.

Yes. Under the Health Policy, you can opt for cashless as well as Reimbursement. We would advise that in case you are taking treatment from a network hospital, then you should avail of the cashless facility. This will give you the financial advantage of not paying for your hospital treatment and also gives you more cushions to meet your post hospitalization expenses.

Pre Authorization is the prior approval that is required to be taken from Ericson Insurance TPA Pvt. Ltd to grant cashless treatment in a network hospital.

More Faqs
Ericson TPA Cashless Approval Copy
Ericson TPA Claim Checklist
Ericson TPA Credit Request Form
Ericson TPA Hospital Information Format for Empanelment
MOU Copy
New India Claim Form
Oriental Insurance Claim Form
United India Claim Form
Standard Claim Form Copy Part A ( TO BE FILLED BY INSURED )
More Downloads

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