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What is a Third Party Administrators (TPA) & How does it work ?
  Third Party Administrators (TPA ) is an important link between Insurance companies policyholders & healthcare providers (Hospitals and nursing homes).TPA’s role is to provide administrative support to the insurance companies for servicing their insurance policies.

Service  offered  by TPA for policyholder & Health care provides & Healthcare Provider


1. Cashless Hospitalization:

Each policy holders is provided with a list of empanelled hospitals where in he/she can avail cashless hospitalization


2. ID card :

TPA provides ID cards to all their policy holder in order  to validate their Identityat the time of admission


3. Claims Management:

On behalf of insurance companies TPA  administers & settle claims for hospitals & policyholders


4.  24 hours customers support services:

TPA provides  assistance through its 24 hrs call center information regarding policyholder’s data, provider network, claim  status, benefits available with existing cardholder, etc is furnished on request.

If you have a medical insurance please check out the following details:


Have you received the insurance cards from Third Party Administrator? If not contact your agent or TPA.

If you have received the Insurance ID cards check the name of the TPA  before getting hospitalized

If you have fresh policy / first year policy or recently got your policy renewed check with your

TPA about your policy enrollment, failure of which can result in rejection  of your cashless authorisation request.

Medical insurance do not cover your OPD consultation / procedure / investigation  done before being hospitalized

All claims of the discharge from the hospitals will be processed by the TPA directly / or for

reimbursements of all your post discharge expanses directly file all originals documents, bill, prescription in TPA

For Emergency Hospitalization


Policyholder can be hospitalised in emergency after showing their Insurance card or policy copies

and are supposed to fill an undertaking form at the emergency reception. They should complete

pre-authorizations formality filled by the concerned  doctor

TPA will issue an authorisation letter for the coverage as per the policy to  Charak Hospital. The answer will come from TPA in the form of authorization letter.


Medical insurance do not cover your OPD consultation / procedure / investigation  done before being hospitalized


Policy holder can directly approach the hospital Admission Counter for admission with the ID Card and one copy of the authorization letter will be given to the Admission / IP billing counter


Hospital will extend cashless treatment to the policyholder up to the authorized amount.


In case the authorized limit get exhausted get in touch with Insurance helpdesk.

At the time of discharge, policyholder has to inform the Insurance desk & is supposed to signs the claim form.

We help you with cashless mediclaim processing for the following Third Party Administrators (TPA)

  • E-Meditech Solution Ltd.
  • Paramount Healthcare Services Pvt. Ltd.
  • Star Health and Allied Insurence Co. Ltd.
  • Raksha
  • Med Save Health Care Services Ltd.
  • Bajaj Allianz General Insurence Co. Ltd.
  • Medi Assist
  • ICICI Lombard (I) Healthcare
  • HSC
  • I-Care Health (TPA)
  • Cholamandlam Health Services
  • TTK Healthcare Services Ltd.
  • Iffco Tokio



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