To all Insurers and Third Party Administrators
Modification of Annexure – 24 of Circular Ref. No: IRDA/TPA/REG/CIR/059/03/2016 dated 28th March, 2016 Reference is invited to the provisions Read more
third party administrators
Health insurance firms must settle claims directly with policyholders, rules court
Insurance companies will be required to pay health claims directly to consumers, according to a Bombay High Court judgment delivered on a public interest litigation. Earlier, such claims (reimbursements of cashless settlements) were done through intermediaries called third party administrators (TPAs). Read more
HIGHTIME TO IMPROVE THE HEALTH OF HEALTH INSURANCE IN INDIA
Health insurance is a cause of concern for everyone. There are several issues that need regulatory intervention and direction. The Insurance Regulatory and Development Authority who have the task of protecting policyholders, has initiated several steps in this direction. Read more
Third Party Administrators Vis-A-Vis HEALTH SERVICES
Third Party Administrators are the middlemen in the health care delivery chain, which links physicians, hospitals, clinics, home health, long-term care facilities and pharmacies. In India TPAs are separate entities and they service more than one insurer at a time. TPAs are governed by the IRDA (Third Party Administrators-Health Services) Regulations, 2001. Read more