TPA and in-house claim settlement process of health insurance

Compare TPA and in-house claim settlement in health insurance. Understand which is faster, more efficient, and better for your needs.

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Frequently Asked Questions

Who is a TPA?

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A Third Party Administrator commonly referred to as TPA is a specialized health care provider approved by the IRDAI (Insurance Development Authority of India). They provide the insurance company with services like networking with hospitals, arranging for cashless hospitalization and claims processing & timely settlement.

What are TPA services?

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Third-Party Administrators (TPA) services include generating health ID cards, helping patients and insurers with documents for claims, updating claim status, and building network hospitals.

What is TPA in a hospital?

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TPA in hospitals helps patients with their insurance policies. If patients want to use their insurance policy during their hospitalization, TPA can help them raise a claim. TPA is there in the hospital so you could inform prior about the hospitalization and your policy.

How many types of TPA are there?

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There are 19 TPAs in India. You can check all the TPAs in India here

Do all insurance companies offer in-house claim processing?

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No. Only some insurers have in-house teams. Many still use TPAs like Medi Assist, Paramount, Health India, etc.

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