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
8370008558, 7489924379