Who is a Third Party Administrator?

[Nikhil Shetty]

Who is a Third Party Administrator?

[Ragini Khanna]

A Third Party Administrator is one who offers claims services on behalf of the insurer. In most cases, they offer cashless facility. You must confirm details from your insurer before you travel. Ensure that your policy document has all the contact details and other relevant information related to the services offered by the Third Party Administrator.

[N.Kumari · Accepted solution]

Hi,

A TPA is an intermediary between the insurance company and the policyholder. TPA are licensed by Insurance Regulatory IRDAI. Their job is to simplify the claim procedure under health insurance policies. The TPA will then ask the hospital to arrange for cashless facility, if possible. Otherwise, the claim will be processed for reimbursement. In general,these administrators are independent but can also act as an entity belonging to the insurer/s.