tpa

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Third Party Administrators- Medical Insurance The job of a TPA is to maintain databases of policy holders and issue them identity cards with unique identification numbers and handle all the post policy issues including claim settlements. In terms of infrastructure, the TPAs run a 24- hour toll-free number, which can be accessed from anywhere in the country. And they will have full-time medical practitioners under their employment who will immediately take a decision on whether the ailment is covered under the policy. TPA license can be granted to any company registered under the Companies Act 1956. IRDA, which licenses and regulates these TPAs, has specified stiff entry norms some of which include a minimum capital requirement of 1 Crore, capping the foreign equity at 26% etc. License is usually granted for a period of 3 years. Below is an overview of the activities of TPA All the records of medical insurance policies of an insurer will be transferred to the TPA. TPA may issue identity cards to all the policy holders, which they have to show to the hospital authorities before availing any hospitalisation services. In case of a claim, policy holder has to inform TPA on 24 hr toll free line provided by the TPA. On informing the TPA, policy holder will be directed to a hospital where the TPA has a tied up arrangement. However policy holder will have the option to join any other hospital of his choice, but in such case payment shall be on reimbursement basis. TPA issues an authorisation letter to the hospital, for the treatment wherein the TPA will pay for the treatment. TPA will be tracking the case of the insured at the hospital and at the point of discharge, all the bills will be sent to TPA. TPA makes the payment to the hospital. TPA sends all the documents necessary for consideration of claims, along with bills to the insurer. Insurer reimburses the TPA. New India has tied up with 14 TPAs Third Party Administrators Address Telephone Nos. Name of the TPA Compa ny Name of the Contact Authorised in Mumbai Telephone No/ Fax No in Mumbai Contact Person/ Address Telephone No / Fax No.

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Third Party Administrator

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Third Party Administrators- Medical InsuranceThe job of a TPA is to maintain databases of policy holders and issue them identity cards with unique identification numbers and handle all the post policy issues including claim settlements. In terms of infrastructure, the TPAs run a 24-hour toll-free number, which can be accessed from anywhere in the country. And they will have full-time medical practitioners under their employment who will immediately take a decision on whether the ailment is covered under the policy.TPA license can be granted to any company registered under the Companies Act 1956. IRDA, which licenses and regulates these TPAs, has specified stiff entry norms some of which include a minimum capital requirement of 1 Crore, capping the foreign equity at 26% etc. License is usually granted for a period of 3 years.Below is an overview of the activities of TPA All the records of medical insurance policies of an insurer will be transferred to the TPA. TPA may issue identity cards to all the policy holders, which they have to show to the hospital authorities before availing any hospitalisation services. In case of a claim, policy holder has to inform TPA on 24 hr toll free line provided by the TPA. On informing the TPA, policy holder will be directed to a hospital where the TPA has a tied up arrangement. However policy holder will have the option to join any other hospital of his choice, but in such case payment shall be on reimbursement basis. TPA issues an authorisation letter to the hospital, for the treatment wherein the TPA will pay for the treatment. TPA will be tracking the case of the insured at the hospital and at the point of discharge, all the bills will be sent to TPA. TPA makes the payment to the hospital. TPA sends all the documents necessary for consideration of claims, along with bills to the insurer. Insurer reimburses the TPA.New India has tied up with 14 TPAsThird Party Administrators Address Telephone Nos.

Name of theTPA CompanyLicence No.Name of the ContactAuthorised in MumbaiTelephone No/Fax No in MumbaiContact Person/AddressTelephone No / Fax No.

1. Dedicated Health careServices (India) Ltd.Licence No. 028Mrs. Anahita DaverCAOMobile:9867822557Cambata Building,(Eros Theatre Building)East Wing, 2nd Floor, 42 MKarve Road, Churchgate,Mumbai, Maharashtra.Tel:022-66275900 / 901Fax:022-2287 4235Toll Free No:18002090201Ms Anahita Daver CAOCambata Building,(Eros Theatre Building)East Wing, 2nd Floor,42 M Karve Road,Churchgate MumbaiMaharashtra

Alternate Contact DetailsMr Priyadarshan Kakodkar AVPMobile: 9320354163Tel:022-66275900 / 901Fax:022-2287 4235E-Mail:anahita(at)dhs-india[dot][email protected]@dhs-india.comToll Free No:18002090201

2. Heritage Health TPA Pvt. LtdLicence No. 008Mr. Darpan Nillay, V.P.Mobile No:09820242966Address - ELITE AUTO HOUSE,54/A, Ground Floor (Rear side),Next to Crisil House, Chakala,Andheri-Kurla Road, Andheri(East),MUMBAI -400093E-Mail:[email protected]:022 - 61273891 /92/ 93Fax:022 - 6127 3890Toll Free No :1800 224 004Email:[email protected] Parakh, CEONicco House,5th Floor,Hare StreetKolkatta - 700 001,West BengalTel:033-22487179/81Fax:033-22100837E-Mail:heritage_health(at)bajoria[dot]inToll Free No:18003453477

3. Medi Assist India TPA Pvt. Ltd.Services (India) Ltd.Licence No. 003TVS Prasad - Chief operating officerTel:022 42499307E-Mail:[email protected]. Purushottam Pagedar (VP Operation)Email:[email protected]:022 42499308Tel :022 42499300/01/02/03Toll Free No:180042594491st Floor, North Wing, Plot No 7Excom House, Saki Vihar Road,Saki Naka, Andheri (E) Mumbai- 400072Dr. Anjum Shaikh (Branch Manager )[email protected] 42499309

Mr. Siddhesh Gurav (Manager CRM)[email protected] 42499312

Mr. Sachin Khot (Asst. Manager CRM)[email protected] 42499315Toll Free No:18004259449Fax:080-26584812E-Mail:[email protected]

4. M D India Helthcare Services(P) Ltd.Licence No. 005Mr. Lalit SharmaAGMMobile:9320019628Toll Free No:1800 233 1166Fax:020-25300003Email:[email protected]:www.mdindiaonline.comMr. Praveen Yadav CAOS. No. 46/1, E-space,A-2 Building, 4th floor,Pune Nagar Road,Vadgaonsheri,Pune - 411014Toll Free No:1800 233 1166Fax:020-25300030

E-Mail:customercare(at)mdindia[dot]com

5. Paramout Health Services (TPA) Pvt. Ltd.Licence No. 006Mr. Santosh PatilDeputy General ManagerPhone:9323231050Elite Auto house,54 A, M Vasanji Road,Off Andheri Kurla Road,Andheri (E),Mumbai 400 093.Tel:02266620808Fax:02266444754/755Mr. R.D Misra CAOElite Auto house, 54A,M Vasanji Road, OffAndheri Kurla Road, Off ,Andheri Kurla Road,Andheri (E),Mumbai 400 093.Board Line:02266444600Call centre:02266620808Toll Free No:1800 22 6655Fax:02266444754/755E-Mail:contact.phs(at)paramounttpa[dot]com

6. Raksha TPA Pvt LtdLicence No. 015Mr.R. GopalakrishnanZonal Manager West,Unit no.2,A wing Time ,Square,3rd Floor, Marol,Andheri- Kurla Road,Mumbai-400 059.Tel:022-67876666Fax:022-39167411Pawan Kumar Bhalla CEOTel:0129 2564083Fax:0129 401801215/5 ,Mathura Road,Faridabad.Tel:0129-4289999Cashless Fax No:011-66173411, 011-45823411E-Mail:raksha(at)rakshatpa[dot]comcrcm(at)rakshatpa[dot]com

7. E Meditek (TPA) Services Ltd.Licence No. 007Mr. Vishal PandyaRelationship managerPhone:9594084197208/209 Turf Estate, Off Dr E,Moses Marg, Beside ,Mahalakshmi Station,Mahalakshmi ,Mumbai - 400011.Tel:022-44666600, 44666666Fax:022-44666677,55E-Mail:emslmumbai(at)emeditek[dot]comMr. Gopal Verma, Managing DirectorTel:+91-124-4466600Plot No.- 577,Udyog Vihar, Phase - 5 ,Gurgaon,Haryana 122016Tel:+91-124-4466666Fax:+91-124-4466677Toll Free No:1800-102-3242E-Mail:nia.ho@emeditek[dot]comWebsite:www.emeditek.com

8. Family Health Plan(TPA) LimitedLicence No. 013Dr.Nitin ghadiGeneral managerPhone:9223329002Gala no 24 ,adhyaru industrial ,estate,sunmill compound,Lower parel(west),Mumbai - 400013E-Mail: [email protected]:022-24918062/63/64Fax:02266314781Toll Free No:1800 425 4033Name: Mr.Abhishek YadavDesignation: Sr. General ManagerMobile No: 9223329004Address: Gala no. 24, Adhyaru Industrial EstateSun Mills Compound,Lower Parel (W)Mumbai- 400 013;E-Mail: [email protected]:022 -24918062 /63 /64 /65Fax:022 66314781Toll Free No:1800 425 4033Website:www.fhpl.net

9. TTKHealthcare Services Pvt.Ltd.LicenceNo. 016Mrs. Sudha KulkarniChief Administrative OfficerMobile:9967006203413-422, 4th Floor, B Wing,Chintamani Plaza,Mohan Studio Compound,ChakalaAndheri Kurla Road,Mumbai - 400099.Tel:022-29214700Fax:022-23001167E-Mail:help(at)ttkhealthcareservices[dot]comIntimation(at)ttkhealthcareservices[dot]comToll Free No:1800 22 1717Toll Free Fax:1800 22 1919Mrs. Sheela AnandChief Operating OfficerMobile:09840110304#2, H.B. Complex;100 Ft Main Road, 1st ,Stage, BTM Layout,Bangalore - 560 068Tel:080-40125678Toll Free No:1800 4258885 /7878Toll Free Fax:18004252626E-Mail:[email protected]

10. Health IndiaLicence No. 022(Name) : Mr. Jigar DesaiSr Manager OperationsMobile:7710002299(Address) : Anand Commercial Complex, 103-B, L.B.S. Road, Gandhinagar, Vikhroli (W) Mumbai - 400083(E-Mail): [email protected]:022- 66867575Fax:07666136699Toll Free No:1800 2201 02Toll Free Fax:1800 22 1919E-Mail:[email protected]. Nitin PandeyTeam LeaderMobile:8454948851Anand Commercial Complex, 103-B, L.B.S. Road, Gandhinagar, Vikhroli (W) Mumbai - [email protected]:: 09222276022Fax:07666136699Toll Free No: 1800 2201 02E-Mail:[email protected]:www.healthindiatpa.com

11. Medicare TPA Services (I) Pvt. Ltd.Regional managerLicence No. 012Mr. Nitin ThuseGM-West Tel:9619911299

Address- 58/64, Hari Chambers,3rd FloorShahid Bhagat Singh MargNear Old Custom House, FortMumbai [email protected]:022 66377744 / 66377766Fax:022 22616650E-mail:[email protected] / [email protected]. Debjani RayVice President- OperationsTel:9830881188Address- 6B,Bishop Lefroy RoadPaul Mansions,Kolkata-700 020Tel:-40079991,9992,9993Free:18003453339Fax: -9103322806111Website:www.medicaretpa.com

12. Vipul Med Corp TPA Pvt. Ltd.Licence No. 024A. K. SachdevaVice President107 & 109,1st Floor,Shilpin Centre,G. D. Ambekar Marg,,Wadala (W) ,Mumbai - 400 031.Tel:022-24160031, 022-40764545 (24 Lines)Fax:022-40764555Mr.Rajan Subramaniam - CEO515, Udyog Vihar,Phase V,Gurgaon-122 016,Tel:0124-4308780

Regd. Office:,B-416 Ansal Chamber I,Bhikaji Cama Place,New Delhi - 110 066,Tel:011-46074578-81Fax:011-41659833Tel:+91-124-4833900, 4699600Fax:+91-124-2438276, 4699611-12, 430821Toll Free:1800 102 7477E-Mail:info(at)vipulmedcorp.comwww.vipulmedcorp.com

13. Good Health Plan Ltd.Licence No. 023Mr. Rajesh KunteBranch managerPhone:95610983012A/403, shubam centre, A-K road besidesP&G ,shakla, Andheri(east),Mumbai.Tel:022-65543888 / 65549444Fax:1860 425 4242Mr.R K T Krishnan - CEOPlot No.49,Nagarjuna Hills, Panjagutta,Hyderabad-500 082Tel:1860 425 3232 / 1800 425 3232, 1860 425 3545Fax:1860 425 4242E-Mail:Customer.care(at)ghpltpa[dot]comwww.ghpltpa.com

14. UnitedHealthcare Parekh TPA Pvt. LtdLicence No. 002Mr.Prashant NagarkarAssociate vice president business developmentMobile:98334180213B GundechaOnclave, Kherani Road,,Saki Naka, Andheri(East),Mumbai 400 072Tel:022-30657300Fax:022- 28528222Mr.Nitin Srivastava - COO3B GundechaOnclave,Kherani Road, Saki Naka ,Andheri(East),Mumbai 400 072Tel:022-30657300Fax:022- 28528222E-Mail:nitin.srivastava(at)uhcindia[dot]com

15. Med Save Health Care TPA Ltd.Licence No. 002S.N. ShettyRegional Manager

Mobile:9322818506Address: 265, Engineer Building, 3rd Floor, S.G. Marg, Marine Lines , Mumbai-400002E-Mail: [email protected]:022- 40369818,40369819, 40369820Fax:022- 40369821, 22032509Toll Free No:1800111142Email: [email protected] Adish LabruMedical DirectorMobile No: 9312880008Address: F 701 A Lado Sarai, Mehrauli, New DelhiE-Mail: [email protected]:011-39001234/29521061- 66Fax:011-29521067, 29521071Toll Free No:1800111142E-Mail:[email protected]:

Medi Assist India TPA Pvt LtdSri Krishna Arcade,47/1, 9th Cross, 1st Main Road,Sarakki Industrial Layout, 3rd Phase, J P NagarBangalore 560 078Phone080 - 26584811 (5 Lines)

Call Center Toll Free*1 800 425 9449

Fax Toll Free*1 800 425 9559(Bangalore (G A))022 66376933(Mumbai)0120 4628250(Noida)044 49066509(Chennai)1800 102 5254(Bangalore (H O))

E-mail :[email protected]