Corporate & Tpa

PAs function as an intermediary between the insurance provider and the insured. The stakeholders involved are as follows:

  • Insurance companies
  • Healthcare providers
  • Policyholders

Introduced by the IRDA in 2001, TPAs handle various pertinent aspects of insurance as listed below:

  • Processing of claims and settlement includes the following:
    • Accepting intimations
    • Approving cashless claims
    • Disbursing the claims
  • Utilization review
  • Provider network
  • Enrolment
  • Premium collection
  • Cashless processing (if and when a policyholder is admitted to a listed hospital of an insurance provider, the latter pays the bill)

Value added services such as the following:

  • Ambulance services
  • Specialised consultation
  • Availability of beds
  • 24-hour toll-free helplines
  • Lifestyle management
  • Wellbeing programmes
  • Medicine supplies
  • Health facilities

We are attached with:

  • Cholamandalam General Insurance
  • ICICI Lombard Insurance
  • Aditya Birla Capital Insurance
  • Godawari Power & Ispat Limited (unit of Hira Group)
  • RR Ispat (Unit of Hira Group)
  • Chhattisgarh State Govt Empanelment
  • CSEB Empanelment
  • ESI
  • Smile Train
  • RSBY & MSBY
  • Sanjivani
  • Chirayu
  • Janani Suraksha Yojana

Some of the Third Party Administrators in India:

  • Raksha TPA Pvt. Limited
  • Paramount Health Care Services TPA
  • MedSave Healthcare TPA
  • Sunrise Medicorp TPA
  • Park Mediclaim TPA
  • Health Insurance India TPA
  • Anyuta TPA

For more details , you can get in touch with Business Department

OM Hosptial
Near HP Petrol Pump,
Mahadevghat Road,
Raipura Chowk, Raipur
Chhattisgarh – 492001

info@omhospital.co.in
0771-2243118