Health insurance move to check abuse

In order to crack the whip on hospitals that abuse patients who have a health cover, public sector insurers have prescribed rates for certain surgeries conducted by hospitals. The move will help insurance companies, TPAs and patients in getting the right value for their money. What is the role of Third Party Administrators (TPAs)? TPAs are intermediaries between insurance companies and customers. These organisations are responsible for processing insurance claims, empanelling hospitals and negotiating rates for treatment on behalf of insurance companies. At present, there are 26 TPAs operating in the country. What is the latest move by public insurance ...

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