TPA Services

TPA

Medvantage Insurance TPA is an Industry Pioneer with over 12 years of Operations in India. We are Leader in Market for Defining Direction and servicing more than a Million lives spread over 200 Corporate Clients including some of the largest Blue Chip MNCs in India.

We have a huge Network base of over 3200 Primary, Secondary, Tertiary Care and Premium Hospitals in 28 States spread across over 430 cities in India, wherein we offer discounts ranging from 5% to 20% for In-Patient care.

We have a team of more than 200 Employees having Centralized Office in Mumbai and operating at 10 locations in India. Our team comprises of:

 

  • Account Management - Account Managers with Regional Managers for East, West, North and South zones.
  • Enrollment Services - Data Management including capability of e-enroll services
  • ID Card Services - Offering Physical and e-cards to our esteemed clients.
  • Claims Services - Claim Registration, Claims Assessment, Document Assistance, Claims Computation and Settlement Team
  • Medical Team - Team of Doctors specialized in checking medical admissibility for Cashless Hospitalization, Denials.
  • Networks Services - Empanelment Team for improving the Network Strength and Tariff Rate Negotiation to offer discounts.
  • Quality Team - Experienced Team of Doctors and Quality Experts taking care
  • Information Technology - In-house IT Development Team with strong Work Flow Systems, Policy & Benefits validation, Flexible and Scalable Architecture, Multiple Payment Options, etc. Complete Hardware Support by way of Complete Data Back-up, Multiple Power Back-ups, Telecom from Multiple Providers, etc.
  • Customer Service - 24/7 Toll Free Numbers with Customized Greeting Calls, IVRs, Capability of Automatic Call Distribution (ACD) System providing Online, Call Drops, Alert Time-Outs, Holding Time, etc., VIP Tagging and Priority Services, SMS facility at every stage, etc.
  • Insurance Liaisoning - Dedicated Team for regular liaisoning with Insurer for Settlement of Claims and Fees.
  • Data Mining & MIS Team - Dedicated Team responsible for publishing all kinds of Operations MIS to Insurers, Brokers and Corporates.

 

Focus of Medvantage Insurance TPA

 

  • Focus on improving processes, advancing technology, using knowledge and information, driving innovation and running disciplined operations.
  • Use technology to make our services most efficient, effective and up-to-date.
  • Continue to measure our performance and make the results available to provide an objective assessment of how well we’re doing our job.
Key Highlights
Value Added Services