Hospitals whose are working cashless/reimbursement work they have to setup a proper TPA department with a dedicated experienced person for dealing that kind of patients. Due to lack of knowledge there are huge chances for rejecting claims as well as deducting huge amount from claim amount.
OUR SCOPE OF SERVICES:- (IN-HOUSE/OUTSOURCE)
1. Handle Your TPA Desk.
2. Counseling to Insured.
3. Provide training about the TPA requirement for a hospital and IPD file management as per TPA Standard.
4. Cashless Processing By Our Expert Team.
5. Back-end Experienced Dr. Support.
6. File Submission.
7. Payment Recovery from Insurance/TPA Company.
8. Prepare MIS report for pending payments as well as analysis about revenue generation.