What is TPA Empanelment?
TPA Empanelment is the process of the hospital being registered as a member of a TPA network. The TPA network is the network of health insurance companies that are authorized by the Insurance Regulatory and Development Authority (IRDA) to provide health insurance services in India. TPA Empanelment enables the hospital to offer cashless and hassle-free hospitalization benefits to the insured patients who have a health insurance policy from any of the TPA network members. TPA Empanelment also helps the hospital to streamline the claim settlement process and reduce the administrative burden.
How to apply for TPA Empanelment?
The hospital can apply for TPA Empanelment by following these steps:
- Fill the application form available at the TPA website or contact the TPA representative for the same.
- Upload or submit the required documents, such as the hospital registration certificate, license, infrastructure details, tariff list, etc.
- Respond to the queries or clarifications from the TPA, if any.
- Get the hospital inspection done by the TPA, if required.
- Get the final confirmation and agreement from the TPA.
The TPA may have different criteria and procedures for empanelment, depending on their policies and guidelines. The hospital should check the TPA website or contact the TPA representative for more details.
Major benefits of TPA Empanelment
- Increased patient footfall and revenue, as the hospital can cater to a large number of insured patients from various health insurance companies.
- Improved patient satisfaction and loyalty, as the hospital can provide cashless and hassle-free hospitalization benefits to the insured patients.
- Reduced claim rejection and delay, as the hospital can coordinate with the TPA for the pre-authorization and claim settlement process.
- Enhanced reputation and competitiveness, as the hospital can be recognized as a quality and reliable health care provider by the TPA and the insurance companies.
