TPA Full Form in Medical | Full Form of TPA

TPA Full Form - Third Party Administrator

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 Third Party Administrator

Third Party Administrator

  • TPA stands for Third Party Administrator. A TPA is the representative of the health insurance company.
  • It works as an intermediary between the insurance company and also the insured person.
  • Its main job is to settle the cashless also as reimbursement claims related to hospitalization and related medical expenses.
  • It holds the license from Insurance Regulatory Development Authority (IRDA) to process the claims.

Benefits of TPA

  • TPA benefits both the insurer and the insured. A number of its key benefits are as follows:
    • Greater efficiency/quality related to delivery of services.
    • Greater penetration of health insurance.
    • Streamline investigation avoids unnecessary delays.
    • Lower insurance premiums.
    • Handles all issues related to claim settlements.
    • Provides a 24/7 toll-free number.
    • Doesn’t entertain the false claims and controls the possible frauds by private hospitals

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