(TPA). The single-largest grievance that any discontented health insurance consumer would have is that belated payment of claims, or that of undecided claims. In order to resolve this difficulty, the concept of TPAs was introduced—which fundamentally meant outsourcing the claim settlements. The cashless model of hospitalization also depends largely on the TPAs, whereby policy holders are permitted to gain from medical dealings at any of the networked hospitals without having to shell out the money upfront for medical services.
For complete IIPM article click here
Source:- IIPM Editorial, 2006
For complete IIPM article click here
Source:- IIPM Editorial, 2006
