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Third-Party Administrator (TPA) is an IRDAI approved organization that acts as an intermediary between the insured and insurer to smoothly process the health insurance claims. They are outsourced entities that offer claim-assistance and help in other activities on behalf of the insurer.

Some of the latest details on TPAs (as fetched from the IRDAI website) is as follows:

Name of TPA

Contact Person/Address

Contact Details

Medi Assist Insurance TPA Private

Mr. Ganesh K

Chief Administrative Officer

Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, Bangalore, 560029

Toll-free for senior citizens: 1800 419 9493

Toll-Free No.: 1800 425 9449

Email:cao[at]mediassist[dot]in

Website: www[dot]mediassist[dot]in

Paramount Health Services & Insurance TPA Private Limited

Dr. Nayan Shah

Chief Executive Officer

Plot No. A-442, Road No. 28, Ram Nagar,

MIDC Industrial Area, Wagle Estate, Thane (W) - 400 604

Senior Citizen Helpline No.: 022 66629813

Toll-Free No.: 1800 22 66 55

Email:nayan[dot]shah[at]paramounttpa[dot]com

Website: www[dot]paramounttpa[dot]com

United Health Care Parekh Insurance TPA Private Limited

Mr. Shiva Belavadi

Chief Executive Officer,

3B/1 Gundecha Onclave, Kherani Road, Saki Naka, Andheri (East), Mumbai – 400 072

Toll-Free No.: 1800 209 8884

Email: shiva[dot]belavadi[at]uhcpindia[dot]co

Website: www[dot]uhcpindia[dot]com

MD India Health Insurance TPA Private 

Mr. Suresh V. Karandikar

Chief Executive Officer

S.No. 46/1 E-space A-2 Building,

3rd Floor, Pune-Nagar Road,

Vadgaon Sheri, Pune – 411 014

For senior citizens: 020-25300126

Toll-Free No.: 1800 233 1166

Fax : 1860 233 4449

Email: skarandikar[at]mdindia[dot]com

Website: www[dot]mdindiaonline[dot]com 

Heritage Health Insurance TPA Private Limited

Mr. Manash Chakraborty,

Chief Administrative Officer

NICCO HOUSE, 5th Floor, 2, Hare Street, Kolkata-700001

Toll-Free No.: 1800 345 3477

Email: mchakraborty[at]bajoria[dot]in

Website: www[dot]heritagehealthtpa[dot]com 

Family Health Plan Insurance TPA Limited

Ms. G. Bharathamma

Chief Executive Officer

No: 8-2-269/A/2-1 to 6, 2nd Floor, Srinilaya Cyber Spazio, Road No. 2, Banjara Hills, Hyderabad – 500 034

Senior Citizen Helpline No.: 1800 102 4273 

Toll-Free No.: 1800 102 4033

Email: bharathig[at]fhpl[dot]net

Website: www[dot]fhpl[dot]net 

Raksha Health Insurance TPA Private Limited

Mr. Pawan Kumar Bhalla

Chief Executive Officer 

C/o Escorts Corporate Centre 15/5, Mathura Road, Faridabad, Haryana – 121 003

Toll Free No.s: 1800 180 1444, 1800 220 456, 1800 425 8910 Email: pawan[at]rakshatpa[dot]com

Website: www[dot]rakshatpa[dot]com 

Vidal Health Insurance TPA Private Limited

Ms. Sudha Suhas Kulkarni 

Chief Administrative Officer

First Floor, Tower No. 2, SJR iPark, EPIP Zone, Whitefield, Bangalore - 560 066.

Toll-Free No.: 1860 425 0251, 080 46267018

Email: sudha[at]vidalhealthtpa[dot]com

Website: www[dot]vidalhealthtpa[dot]com 

East West Assist Insurance TPA Private Limited

Dr. Atul Arora

Chief Executive Officer

38, Golf Links, New Delhi - 110003

Ph. No.: 011-47222666 FAX: 011-47222640 

Email: ceo[at]eastwestassist[dot]com

Website: www[dot]eastwestassist[dot]com 

Medsave Health Insurance TPA Limited

Mr. S. Aravamuthan

Chief Administrative Officer

F-701A, Lado Sarai, Mehrauli, New Delhi - 110030

Senior Citizen Helpline No.: 9319810070

Toll-Free No.: 1800 111 142

Email: s.aravamuthan[at]medsave[dot]in

Website: www[dot]medsave[dot]in

Genins India Insurance TPA Limited

Mr. Subhash Chander Khanna,

Chief Administrative Officer

D-34, Ground Floor, Sector-2 Noida - 201301 (U.P.)

Toll-Free No.: 1800 345 3323

Ph. No.: 0120-4144100 Fax:0120-4144170-71

Email: sckhanna[at]geninsindia[dot]com

Website: www[dot]geninsindia[dot]com

Alankit Insurance TPA Limited

Mr. Bodh Raj Punj

Director & Chief Executive Officer

Alankit House, 4E/2, Jhandewalan Extension, New Delhi - 110055

Toll-Free No.: 1800 11 3300

Ph. No.: 011-42541621-24 Fax:011-42541620-30

Email: alok[at]alankit[dot]com

Website: www[dot]alankithealthcare[dot]com 

Health India Insurance TPA Services Private Limited

Mr. Kamaljeet Gupta 

Chief Administrative Officer

Neelkanth Corporate Park, Office No. 406 to 412, 4th Floor, Kirol Road/Village, Vidya Vihar Society, Vidya Vihar (West), Mumbai-400086

Senior Citizen Toll-Free No.: 1800 2269 70 

Toll-Free No.: 1800 2201 02

Ph. No.: 022-40881000

Email: kamaljeetg[at]healthindiatpa[dot]com Website: www[dot]healthindiatpa[dot]com 

Good Health Insurance TPA Limited

Ms. Saigeeta Dikshit, 

Chief Administrative Officer

Suite 403 - 406A, 4th Floor, Ashoka My Home Chambers, Behind Ashok Bhoopal Chambers, Sardar Patel Road, Secunderabad, Telangana State - 500003

Senior Citizen Toll-Free No.: 1800 102 9919

Toll-Free No.: 1860 425 3232

Email: saigeeta[at]ghpltpa[dot]com Website: www[dot]ghpltpa[dot]com 

Vipul Medcorp Insurance TPA Private Limited

Mr. Rajan Subramaniam 

Chief Executive Officer

515, Udyog Vihar, Phase 5, Gurgaon, Haryana – 122 016

Senior Citizen Toll-Free No.: 1800 120 3348

Toll-Free No.: 1800 108 7477, 1800 102 7477

Ph. No.: 0124-4833900 Fax: 0124-4699611

Email: rs[at]vipulmedcorp[dot]com 

Website: www[dot]vipulmedcorp[dot]com

Park Mediclaim Insurance TPA Private Limited

Mr. Anurag Bhatnagar

Chief Executive Officer

702, Vikrant Tower, Rajindra Place, New Delhi-110008

Toll-Free No.: 1800 11 55 33

Ph. No.: 011-43191000

Email: anuragbhatnagar[at]parkmediclaim.co[dot]in 

Website: www[dot]parkmediclaim[dot]co[dot]in 

Safeway Insurance TPA Private Limited

Mr. Mahesh Sharma

Chief Executive Officer

815, Vishwa Sadan, District Centre, Janakpuri, New Delhi-110058

Toll-Free No.: 1800 102 5671

Ph. No.: 011-45451300

Email: ceo[at]safewaytpa[dot]in

Website : www[dot]safewaytpa[dot]in 

Anmol Medicare Insurance TPA Limited

Mr. P. S. Kshatriya

Chief Executive Officer 

2nd Floor, NBCC House, Opp. Ahmedabad Stock Exchange, Ambavadi, Ahmedabad – 380015, Gujarat

Toll-Free No.: 1800 233 1999

Ph. No.: +91-79-61609926, 61609930

E-mail: prithvi[at]anmolmedicare[dot]com

Website: www[dot]anmolmedicare[dot]in 

Grand Insurance TPA Private Limited

Mr Bibhutosh Chattopadhyay Chief Administrative Officer Grand House, 45A, Hindustan Park, Kolkata 700 029 (West Bengal)

Toll-Free No.: 1800 102 4747

Ph. No.: 033-40274747 Fax: 033-40043344

Email: cao[at]grandtpa.co[dot]in

Website: www[dot]grandtpa[dot]co[dot]in 

Rothshield Insurance TPA Limited

Ms. Janki M Bhate

Chief Executive Officer

402, Raheja Chambers, Nariman Point, Mumbai 400 021

Toll-Free No.: 1800 228 144

Ph. No.: 022-22048144 Fax: 022-22854415

Email: janki[at]rothshield[dot]co[dot]in

Website: www[dot]rothshield[dot]co[dot]in 

Ericson Insurance TPA Private Limited

Dr. Krishna P. Jaiswal, MD

11-C, Corporate Park, ST Road, Chembur, Mumbai - 400 071 (Maharashtra)

Senior Citizen Helpline No.: 022-25280208

Toll-Free No.: 1800 22 2034

Ph. No.: 022-25280280

Email: krishna[at]ericsontpa[dot]com

Website: www[dot]ericsontpa[dot]com 

Health Insurance TPA of India Limited

Mr. SK Mehra

Chief Executive Officer

2nd Floor, Majestic Omnia Building, A-110, Sector-4, Noida 201301 (Uttar Pradesh)

Toll-Free No.: 1800 180 3600, 1800 102 3600

Email: sk.mehra[at]hitpa.co[dot]in

Website: www[dot]hitpa[dot]co[dot]in 

Vision Digital Insurance TPA Private Limited

Ms. Priyanka Jain

Chief Administrative Officer

Time Square Building 3rd & 4th Floor,

Sushant Lok-1, Block-B,

Gurugram - 122002

Toll-free no: 1800-419-9982

Ph. No.: 0124-4003171

Email: priyanka.jain[at]visiontpa[dot]in

Website: www[dot]visiontpa[dot]in 

Importance of Third Party Administrators (TPA) To Insurance Companies

Insurance companies partially rely on TPAs for smooth settlement of claims. Other reasons as to why do insurance companies need TPAs are listed below:

  • Having a dedicated institute to facilitate claim settlement.
  • Co-ordinating the complete process (from treatment to discharge). 
  • Proper management and investigation of cases. 

How Does TPA Work?

How TPA Works

TPAs have expertise in managing documentation for easier claim settlement. Below are two cases, which will showcase the role of TPAs in health insurance. 

Case 1: Cashless Treatment

Ramesh works in Genpact. His wife is diagnosed with a kidney stone and the doctor suggests an immediate operation. As he has taken a health insurance policy from HDFC ERGO Insurance Company, he plans to go for cashless treatment. 

Once Ramesh selects a suitable hospital, the next step is to visit the network hospital and get in touch with the insurance claims department. The designated TPA will help out the policyholder to submit the necessary documentation for a successful claim settlement. 

Case 2: Non-Cashless Treatment

At times, many individuals are not able to take treatment from an empanelled hospital due to some reason. For this, the process remains the same as cashless claims. TPAs resolve all the queries related to non-cashless treatment and provide easy management and settlement of claims. The only difference- the policyholder needs to pay the medical expenses upfront and settle the claims later through insurers. Usually, if all the documents are placed well, then the claim settlement would not take more than 30-45 days.

What Are The Limitations of TPA?

  1. Since TPAs are not the actual health insurance providers, they may not have adequate information.
  2. Customers often get confused between agents and TPAs.
  3. As TPAs are middlemen, they don’t have a major say in claim settlement. 

TPAs play an important role in an easy settlement of health insurance claims. They are the major support system of the insurer as they undertake major responsibilities on behalf of the insurance companies.

Naval Goel is the founder of PolicyX.com. He is an Associate Member of the Indian Institute of Insurance`, Pune. He has been authorized by IRDA to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.
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