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TPA vs In-house claims processing: What works better?

  • Dailybhaskar.com
  • Apr 10, 2013, 19:06 PM IST
TPA vs In-house claims processing: What works better?
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The author of the article, Deepak Yohannan, is CEO of www.myinsuranceclub.com, India’s first Web Aggregator for insurance products approved by the Insurance Regulatory and Development Authority (IRDA). For related queries, please write to him at deepak@myinsuranceclub.com.
 
While choosing a Health Insurance Plan, this is quite an important consideration-Third Party Administrator (TPA) or in-house claims processing? I have often come across people with this query, particularly since the new Health Insurance Plans are now advertising No TPA as their USP of the product.
 
What is TPA and what in-house claims processing? And how is one different from the other? Visit the slideshow to find out.

 

Find out more by clicking on the following slides

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What is a TPA?
 
A Third Party Administrator (commonly referred to as TPA) is an IRDA (Insurance Regulatory and Development Authority) approved specialized health care service provider. A TPA provides the insurance company with a variety of services like networking with hospitals, arranging for cashless hospitalization as well as claims processing & timely settlement. 
 
TPA is a customer’s point of contact for any health insurance claim. Their basic job is to liaison between the customer and the insurance company. 
 
Insurer <===> Third Party Administrator  <===>  Customer

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