• Provide integrated cashless facility and claim reimbursement solutions to hospitals.
• Managing Third Party Administrator (TPA) / Insurance desk with expertise for Hospitals.
• Managing helpdesk service in terms of getting final approval from TPA/ Insurance Companies.
• Negotiate with TPA for empanelment with package rates.
• Timely reply of medical queries raised by TPA/ Insurance Companies by maintaining proper coordination with treating doctors and patient party.
• Scientific Medical scrutiny of bills & Reports before submission to the TPA/Insurance Company.
• Personalized service for priority patient & corporate patients.
• Providing personalised support during the hospitalization of patients.
• Responsible for answering all FAQs by the Patients, Hospitals, TPA, Insurance companies and corporate organizations at any point of time.
• Available 24*7 (in case of emergencies/crisis/critical situations).
• Provide expertise service on Re opening old claim files for credit patients.
• Collection of Bills from The Hospitals/Nursing Homes on a regular basis.
• Medical Scrutiny by professional before submission to TPAs/Insurance Comapnies/ ESI/WBHS/CGHS.
• Follow up with TPAs/Insurer/ESI/WBHS/CGHS after 48 hrs of submission regarding any additional documents.
• Collection of additional information from Hospitals and submission of the same to respective entity.
• Realisation follows up from 7th day with proper outstanding list with TAT.
• Majority realisation within first 30 Days.
• Providing one stop Health care solutions to corporate client through reputed Hospitals & Doctors.
• One point contact for Employee benefit policies.
• Centralised claim management by experienced professionals.
• Providing medical camp by specialised & renowned Hospitals /doctors at Client’s office.
• Providing personalised assistance to employees for doctor’s appointment & hospitalisation.
• Co ordination with Insurance companies/TPAs on behalf of the corporate for settlement of Reimbursement claim.
• MIS management.
• 24 hrs Ambulance services for emergency hospitalisation.
• Co ordination with Hospitals & TPA for smooth processing of all cashless claims.
• Corporate Tie up with Diagnostic centre at negotiated rate for pre employment check up / Regular Health check up.
• Claim Investigation of Health & PA policy.
• Death claim investigation under Personal accident policies.
• Negotiation with Hospitals for Direct tie up with Insurance companies.
• Personalized healthcare services.
• Doctor Appointment.
• Guidance on Preventive Health measures by Professionals.
• Bedside support on hospitalization, mainly in case of emergencies and critical conditions.
• Speedy recovery of insurance claims/reimbursement from respective TPAs/Insurance companies.
• Provide integrated cashless facility and claim reimbursement solutions to hospitals.
• Managing Third Party Administrator (TPA) / Insurance desk with expertise for Hospitals.
• Managing helpdesk service in terms of getting final approval from TPA/ Insurance Companies.
• Negotiate with TPA for empanelment with package rates.
• Timely reply of medical queries raised by TPA/ Insurance Companies by maintaining proper coordination with treating doctors and patient party.
• Scientific Medical scrutiny of bills & Reports before submission to the TPA/Insurance Company.
• Personalized service for priority patient & corporate patients.
• Providing personalised support during the hospitalization of patients.
• Responsible for answering all FAQs by the Patients, Hospitals, TPA, Insurance companies and corporate organizations at any point of time.
• Available 24*7 (in case of emergencies/crisis/critical situations).
• Provide expertise service on Re opening old claim files for credit patients.
• Collection of Bills from The Hospitals/Nursing Homes on a regular basis.
• Medical Scrutiny by professional before submission to TPAs/Insurance Comapnies/ ESI/WBHS/CGHS.
• Follow up with TPAs/Insurer/ESI/WBHS/CGHS after 48 hrs of submission regarding any additional documents.
• Collection of additional information from Hospitals and submission of the same to respective entity.
• Realisation follows up from 7th day with proper outstanding list with TAT.
• Majority realisation within first 30 Days.
• Providing one stop Health care solutions to corporate client through reputed Hospitals & Doctors.
• One point contact for Employee benefit policies.
• Centralised claim management by experienced professionals.
• Providing medical camp by specialised & renowned Hospitals /doctors at Client’s office.
• Providing personalised assistance to employees for doctor’s appointment & hospitalisation.
• Co ordination with Insurance companies/TPAs on behalf of the corporate for settlement of Reimbursement claim.
• MIS management.
• 24 hrs Ambulance services for emergency hospitalisation.
• Co ordination with Hospitals & TPA for smooth processing of all cashless claims.
• Corporate Tie up with Diagnostic centre at negotiated rate for pre employment check up / Regular Health check up.
• Claim Investigation of Health & PA policy.
• Death claim investigation under Personal accident policies.
• Negotiation with Hospitals for Direct tie up with Insurance companies.
• Personalized healthcare services.
• Doctor Appointment.
• Guidance on Preventive Health measures by Professionals.
• Bedside support on hospitalization, mainly in case of emergencies and critical conditions.
• Speedy recovery of insurance claims/reimbursement from respective TPAs/Insurance companies.