Streamline Interactions between TPAs and Insurance Companies
TPA Management Module helps insurance companies with end-to-end empanelment of Third Party Administrators (TPAs)
Overview
ClaimsLive Health, our state-of-the-art and customizable technology platform for end-to-end digital claims management for health insurance offers an exclusive ‘Third Party Administrator (TPA) Management Module‘ to help hospitals streamline the TPA related activities and reduce claims processing time.
Functionalities
Empowering TPAs with robust functionalities for achieving operational excellence and ensuring quick claims turnaround time
Manage servicing office details for each TPA included
Set up TPA fee based on various parameters
Configure penalties, billing cycle and SLAs for TPAs
Send claims intimation & reserve details
Configure notifications to TPAs and Insurance companies based on defined trigger events
Configurable workflow for service requests
Generation of settlement advice
TPA invoice management
Value Proposition
Leverage the various benefits of TPA Management Module and enhance customer engagement
Introduce Operational Agility
Streamlined core administrative processes and workflows
Achieve Quicker TAT
Enable quick Turnaround time (TAT) for claims processing
Enable Straight Through Processing (STP)
Enable Straight-through processing (STP) of Pre-auth/Claims with real time claims data
Issue1 Real Time Quotes/Policies
Instantly generate quotes and issue policies. Reduce load on your core insurance system
Provide Quick Turn Around Time (TAT)
Delight your customers by providing quicker turnaround times for policy issuance, renewals, endorsements
Ensure Greater Flexibility
Allows insurance companies to configure different privileges for pricing, underwriting and operations to
different intermediaries
Gain Better Oversight
Take complete control over your distribution network with configurable levels of pricing and underwriting
privileges
Increase Transparency
Manage complex commission structures and make payments online
Be Eco-friendly
Help the environment by enabling end-to-end paperless process for policy issuance
Interested to learn more about the TPA Management Module?
Enable motor claim investigators to digitally conduct on-field spot investigations, with audio-visual evidence and reduce Turnaround time (TAT) for motor claim settlement
