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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
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Introduce Operational Agility
Streamlined core administrative processes and workflows
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Achieve Quicker TAT
Enable quick Turnaround time (TAT) for claims processing
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Enable Straight Through Processing (STP)
Enable Straight-through processing (STP) of Pre-auth/Claims with real time claims data
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Issue1 Real Time Quotes/Policies
Instantly generate quotes and issue policies. Reduce load on your core insurance system
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Provide Quick Turn Around Time (TAT)
Delight your customers by providing quicker turnaround times for policy issuance, renewals, endorsements
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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
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Be Eco-friendly
Help the environment by enabling end-to-end paperless process for policy issuance
Related Solutions
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Motor Claims Investigation Solution
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