OUR SCOPE OF SERVICES (AS TPA DESK OUTSOURCED)

Hospitals that are working cashless/reimbursement work have to setup a proper TPA department with a dedicated, experienced person for dealing with that kind of patient. Due to a lack of knowledge, there are huge chances of rejecting claims as well as deducting a huge amount from the claim amount.

1. Dedicated consultant through completion of desired cashless claim, responsible for taking approvals as well as submission of hard copies.
2. Assist hospitals with clients who have insurance, providing support for all related processes.
3. Support patients in filling out forms and documents, ensuring smooth reimbursement from their insurance companies.
4. Provide training about TPA (Third Party Administrator) requirements for hospitals and manage IPD (Inpatient Department) files as per TPA standards.
5. Prepare MIS (Management Information System) reports for pending payments and analyze revenue generation.