The key function of a TPA is to process and settle claims with the help of documents provided by the policyholders. A TPA issues health cards to policyholders that are used at the time of hospitalization and filing of claims. In the in-house claims process, the claims settlement has the advantage of leveraging the scale and investments in technology, being part of large organizations. How to choose a TPANot every insurer has an in-house claim settlement process. According to Shankar Bali, joint managing director, Vidal Health, a TPA: “TPAs have been adjudicating claims fairly for nearly two decades.

Source: Mint May 25, 2021 16:18 UTC