What is TPA and cashless facility ?
Third Party Administrator (TPA) is an intermediary appointed by the insurance company to service the insured person/s in Health polices, including processing and settlement of claims, issuance of Health I.D cards etc. They are professionally managed team with panel of doctors to medically examine and scrutinize treatment related documents, before the claim in processed and settled. TPA will enter into a M.O.U. with chain of hospitals to facilitate the medical treatment of persons covered under the health policies. Based on the pre-authorization given by TPA, such network hospitals shall not collect treatment expenses from the person treated in the hospital. Such facility is known as cash less call/facility.
