Get Health Insurance TPA Empanelment

  • Top consultant for Health Insurance TPA empanelment
  • Complete support from documentation to filing
  • Get Empanelment, Rate negotiations, Reimbursement & Claim support

Health Insurance TPA Empanelment

What is Health Insurance TPA Hospital Empanelment?

Health Insurance TPA Hospital Empanelment refers to the process by which a health insurance third-party administrator (TPA) selects & approves hospitals to be part of its network. The TPA evaluates hospitals based on various factors, such as the quality of healthcare services provided, the availability of medical facilities & equipment, the qualifications of healthcare professionals, & the hospital’s track record of successful healthcare delivery. Once the TPA approves a hospital’s empanelment, policyholders covered by the TPA’s network can receive healthcare services from that hospital, & the TPA will settle any claims arising from those services. Hospital empanelment is crucial for health insurance TPAs to ensure that policyholders receive high-quality healthcare services at an affordable cost.

Hospital Empanelment

About Health Insurance TPA

Health Insurance TPA of India is a third-party administrator that provides health insurance products & services to insurance companies & policyholders in India. The company was established in 2002 as a joint venture among the General Insurance Corporation of India & four public sector insurance companies. The company offers various services, such as claim processing, policy administration, & network management, to ensure a seamless & efficient experience for policyholders. Health Insurance TPA of India has a vast network of healthcare providers & a strong focus on customer service. The company plays a critical role in the Indian health insurance industry by facilitating the processing of insurance claims & promoting digital technologies in insurance services.

How to get Empanelled with Health Insurance TPA?

It is possible for you to apply for Health Insurance TPA by yourself or with our help. We are one of the top consultants for Health Insurance TPA. Here are the steps for empanelment with Health Insurance TPA:

  • Fill application form available at Health Insurance TPA website
  • Upload the required empanelment documents 
  • Respond to the clarification emails from Health Insurance TPA
  • Get the hospital inspection done (if mandated)
  • Get final confirmation from Health Insurance TPA

Taking care of the above steps can be quite time-consuming for some doctors, hospitals, and clinics. That’s where we can help. Simply sign up with us, and we’ll handle everything for you.

Benefits of getting Empanelled with Health Insurance TPA

Getting empanelled with a Health Insurance TPA (Third-Party Administrator) can provide several benefits for a hospital. Some of these benefits are:

  • Increased Patient Base: Can help a hospital to reach out to a wider patient base, as policyholders of the TPA’s network can avail healthcare services from the empanelled hospital.
  • Streamlined Payments: The TPA will settle any claims arising from healthcare services provided by the empanelled hospital, which can streamline the payment process for the hospital & reduce administrative burden.
  • Marketing Advantage: Being empanelled with a reputed TPA can give a hospital a marketing advantage, as it can enhance the hospital’s reputation & credibility in the healthcare industry.
  • Improved Operational Efficiency: Hospitals that are empanelled with a TPA can leverage the TPA’s network & technology to improve their operational efficiency, such as reducing wait times and improving patient experience.
  • Continuous Support: Health Insurance TPAs offer continuous support to their empanelled hospitals, such as regular audits, training programs, & other assistance to help hospitals maintain their standards of healthcare delivery.

Top Health Insurance TPA Consultant

One of the top agents/consultants for empanelment. Our team includes doctors, healthcare professionals, and certified quality consultants.

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Want to immediately start serving Health Insurance TPA patients?

Mantra Consulting helps you empanel with Health Insurance TPA. However, empanelment may take time and are contingent on approval form the TPA/ Insurance.  Therefore, we also offer you an option to serve Health Insurance TPA patients without empanelment through our Reimbursement scheme:

  • You share patient details with us
  • Our expert team checks patients documents and the chances for approval 
  • You perform surgery of the patient
  • Mantra pays you the surgery amount within 7 days
  • Mantra followups with Insurance company and patients for the reimbursement
  • Mantra bears the risk and hospital gets the payment!