More hospitals hoped to come under cashless treatment mode
12 May, 2014 01:01 PM
As PSU general insurers have formed an in-house third party administrator (TPA)- agency for settling health claims, it is expected that the new arrangement may also help in bringing more hospitals into the cashless treatment fold.

The agency, Health Insurance TPA of India was formed as a joint venture of the four government- general insurance companies. This was following several complaints being received against private TPAs. "Expected to be operational this year, the government TPA is hoped to bring faster settlement of claims," said Milind Kharat, the Chairman of United India Insurance, one of the four government owned general insurers. He was in the city to attend a seminar hosted by Dalit Indian Chamber of Commerce and Industry (DICCI).

Kharat said the new TPA will also lead to empanelling of more hospitals under the cashless system. It will also be used in getting data about hospitals which can be empanelled by the insurance companies for cashless treatment. The references given by the government TPA will be considered to be authentic enough as it is an in-house agency. With this it is hoped to empanel more hospitals for the cashless mode.

Apart from it authorization of hospitals for cashless treatment on case to case basis is also expected to become faster with this TPA. It was seen that private TPAs were delaying the process, he said. Even if the hospital is not empanelled patients can get cashless treatment on case to case basis, on a recommendation by the TPA.

Kharat said United India, is also planning to come up with an exclusive product for the small and medium enterprises. The details of the scheme will be put up before the Insurance Regulatory and Development Authority (IRDA).

"So far there is no specific product for the sector. This will be a composite cover for all types of risks, from natural calamities to terror attacks. Even as there is a separate insurance plan for each risk, this one will bring all under one at special premium," said Kharat.
Source : The Times Of India

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