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Third Party Administrators

The job of a TPA is to maintain databases of policy holders and issue them identity cards with unique identification numbers and handle all the post policy issues including claim settlements. In terms of infrastructure, the TPAs run a 24-hour toll-free number, which can be accessed from anywhere in the country. And they will have full-time medical practitioners under their employment who will immediately take a decision on whether the ailment is covered under the policy.

TPA license can be granted to any company registered under the Companies Act 1956. IRDAI, which licenses and regulates these TPAs, has specified stiff entry norms some of which include a minimum capital requirement of 1 Crore. License is usually granted for a period of 3 years.

Below is an overview of the activities of TPA

  • All the records of medical insurance policies of an insurer will be transferred to the TPA.
  • TPA may issue identity cards to all the policy holders, which they have to show to the hospital authorities before availing any hospitalisation services.
  • In case of a claim, policy holder has to inform TPA on 24 hr toll free line provided by the TPA.
  • On informing the TPA, policy holder will be directed to a hospital where the TPA has a tied up arrangement. However policy holder will have the option to join any other hospital of his choice, but in such case payment shall be on reimbursement basis.
  • TPA issues an authorisation letter to the hospital, for the treatment wherein the TPA will pay for the treatment.
  • TPA will be tracking the case of the insured at the hospital and at the point of discharge, all the bills will be sent to TPA.
  • TPA makes the payment to the hospital.
  • TPA sends all the documents necessary for consideration of claims, along with bills to the insurer.
  • Insurer reimburses the TPA.

New IndiaNew India has tied up with 17 TPAs

Third Party Administrators Address Telephone Nos.>
Name of the
TPA Company
Licence No.
Name of the Contact
Authorised in mumbai
Telephone No/
Fax No in Mumbai
Contact Person/
Address
Telephone No / Fax No.
1. Dedicated Health care
Services TPA (India) Ltd.

Licence No. 028
Mrs. Anahita Daver
CAO
Mobile: 9867822557
Cambata Building,
(Eros Theatre Building)
East Wing, 2nd Floor, 42 M
Karve Road, Churchgate,
Mumbai, Maharashtra.
Tel: 022-66275900 / 901
Fax: 022-2287 4235
Toll Free No: 18002090201
Ms Anahita Daver – CAO

Alternate Contact Details
Mr Priyadarshan Kakodkar AVP
Mobile: 9320354163
Tel: 022-66275900 / 901
Fax: 022-2287 4235
anahita(at)dhs-india[dot]com
priyadarshan@dhs-india.com
contactus@dhs-india.com
Toll Free No: 18002090201
2. Heritage Health Insurance TPA Pvt. Ltd
Licence No. 008

Mr. Darpan Nillay, V.P.
Mobile No: 09820242966
Address - ELITE AUTO HOUSE,
54/A, Ground Floor (Rear side),
Next to Crisil House, Chakala,
Andheri-Kurla Road, Andheri(East),
MUMBAI -400093
E-Mail: dnillay@bajoria.in

Tel: 022 - 61273891 /92/ 93
Fax: 022 - 6127 3890
Toll Free No : 1800 224 004
Email: heritagehealth@vsnl.net

Mr.Sunil Parakh, – CEO
Nicco House,5th Floor,
Hare Street
Kolkatta - 700 001,
West Bengal
Tel: 033-22487179/81
Fax: 033-22100837
heritage_health(at)bajoria[dot]in
Toll Free No: 18003453477
3. Medi Assist Insurance TPA Pvt. Ltd.

Licence No. 003

TVS Prasad - (Director)
Tel: 022 42499307
E-Mail: tvsprasad@mediassistindia.com

 

Dr. Anjum Shaikh (Branch Manager)
Email: skanjum@mediassistindia.com
Tel: 022 42499309

Tel : 022 42499300/01/02/03

 

1st Floor, North Wing, Plot No 7
Excom House, Saki Vihar Road,
Saki Naka, Andheri (E) Mumbai- 400072

Mr. Siddhesh Gurav (Manager CRM)
siddheshg@mediassistindia.com
022 42499312


Mr. Sachin Khot (Asst. Manager CRM)
sachinknotk@mediassistindia.com
022 42499315

Toll Free No: 18004259449

info@mediassistindia.com
4. M D India Helth Insurance TPA Pvt. Ltd.
Licence No. 005

Mr. Lalit Sharma

AGM
Mobile: 9320019628

Tel: 022- 22199120

Fax: 022-22199130

Toll Free No: 1800 233 1166

Email: customercare@mdindia.com
www.mdindiaonline.com

Mr. Praveen Yadav CAO
S. No. 46/1, E-space,
A-2 Building, 4th floor,
Pune Nagar Road,
Vadgaonsheri,
Pune - 411014
Toll Free No: 1800 233 1166
Fax: 020-25300125
Mobile: 9320019628
customercare(at)mdindia[dot]com
5. Paramout Health Services & Insurance TPA Pvt. Ltd.
Licence No. 006
Mr. Santosh Patil
Asst.Vice President
Phone: 9323231050
Plot.No.A-442, Road No.28,
Wagle Industrial Estate,
Ram Nagar,
Thane (West) - 400 604
Tel: 02266620808
Fax: 02267021257/58
Mr. R.D Misra CAO
Plot.No.A-442, Road No.28,
Wagle Industrial Estate,
Ram Nagar,
Thane (West) - 400 604
Tell: 02266444600
Call centre: 02266620808
Toll Free No:1800 22 6655
Fax: 02267021257/58
contact.phs(at)paramounttpa[dot]com
6. Raksha Health Insurance TPA Pvt Ltd
Licence No. 015
Mr.R. Gopalakrishnan
Zonal Manager West,
Email : gopal@rakshatpa.com
Mobile : 9819744600

Ms Richi Sontakke
VP- Operations
Email:
richi@rakshatpa.com
Mobile: 9833003808
Unit no.2,A wing Time Square,
3rd Floor, Marol, Andheri- Kurla Road,
Mumbai-400 059.
Tel: 022-67876666
Fax: 022-39167411
Pawan Kumar Bhalla –CEO
Tel: 0129 2564083
Fax: 0129 40180129 4018012
Escorts Corporate Center15/5, Mathura Road,
Faridabad, Haryana-121003
Tel: 0129-4289999
Cashless Fax No:011-66173411, 011-45823411
raksha(at)rakshatpa[dot]com
crcm(at)rakshatpa[dot]com
7. E Meditek Insurance TPA Ltd.
Licence No. 007
Mr. Vishal Pandya
Relationship manager
Phone: 9594084197
208/209 Turf Estate, Off Dr E,
Moses Marg, Beside ,
Mahalakshmi Station,
Mahalakshmi ,
Mumbai - 400011.
Tel: 022-44666600, 44666666
Fax: 022-44666677,55
emslmumbai(at)emeditek[dot]com
Mr. Gopal Verma, Managing Director
Tel: +91-124-4466600
Plot No.- 577,
Udyog Vihar, Phase - 5 ,
Gurgaon,
Haryana – 122016
Tel: +91-124-4466666
Fax: +91-124-4466677
Toll Free No: 1800-102-3242
nia.ho@emeditek[dot]com
Website: www.emeditek.com External Website that opens in a new window
8. Family Health Plan Insurance TPA Limited
Licence No. 013

Dr.Nitin ghadi Assistant Vice President

Assistant Vice President
Mobile: 9223329002

Neelkanth Corporate Park,
Office No. 710 & 711,7th Floor,
Kirol Road,
Opp.Vidyavihar Railway station (West),
Mumbai-400 086.

E-Mail: dr.nitin@fhpl.net

Toll Free No: 1800 425 4033, Tel: 022 –30071500, Fax: 022-30071666

Name: Mr.Abhishek Yadav
Sr. General Manager
Mobile No: 9223329004 Address: Gala no. 24, Adhyaru Industrial Estate
Sun Mills Compound,Lower Parel (W)
Mumbai- 400 013;

 

E-Mail: abhi@fhpl.net

Tel: 022 -24918062 /63 /64 /65
Toll Free No:1800 425 4033, Fax: 022 – 66314781

Website:  www www.fhpl.net

9. Vidal Health Insurance TPA Pvt. Ltd
Licence No. 016
Mrs. Sudha Kulkarni
Chief Administrative Officer

Mobile: 9967006203
413-422, 4th Floor, B Wing,
Chintamani Plaza,
Mohan Studio Compound,
Chakala
Andheri Kurla Road,
Mumbai - 400099.
Tel: 022-29214022-29214700


intimation@vidalhealthtpa.com
Toll Free No: 1800 22 1717
Toll Free Fax: 1800 22 11800 22 1919
Mrs. Sheela Anand
Chief Executive Officer


#2, H.B. Complex; 100 Ft Main Road, 1st ,
Stage, BTM Layout,
Bangalore - 560 068
Tel: 080-40125678
Toll Free No: 1800 4258885 /7878
Toll Free Fax: 18004252 18004252626
10. Health India Insurance TPA Services Pvt. Ltd.
Licence No. 022
 Mr. Jigar Desai
Sr Manager – Operations
Mobile: 7710002299
(Address) : Anand Commercial Complex, 103-B, L.B.S. Road, Gandhinagar, Vikhroli (W) Mumbai - 400083
(E-Mail):  jigar.desai@healthindiatpa.com

Tel: 022- 66867575
Fax: 07666136699
Toll Free No:1800 22011800 2201 02

jigar.desai@healthindiatpa.com

Mr. Nitin Pandey
Team Leader
Mobile: 8454948851
Anand Commercial Complex, 103-B, L.B.S. Road, Gandhinagar, Vikhroli (W) Mumbai - 400083

nitin.pandey@healthindiatpa.com

Tel: : 09222276022
Fax: 07666136699
Toll Free No : 1800 2201 02
nitin.pandey@healthindiatpa.com

www.healthindiatpa.com

11. Medicare Insurance TPA Services (India) Pvt. Ltd.
Licence No. 012

Mr. Nitin Thuse
National Head Marketing
Tel: 9619911299

Address- 58/64, Hari Chambers,3rd Floor
Shahid Bhagat Singh Marg
Near Old Custom House, Fort
Mumbai 400023
Email -nitin.thuse@medicaretpa.co.in

Tel: 022 66377744 / 66377766
Fax: 022 22616650
mumbai.support(at)medicaretpa[dot]co[dot]in / medicaremumbai(at)medicaretpa[dot]co[dot]in


Mrs. Debjani Ray
Vice President- Operations
Tel: 9830881188

Address- 6B,Bishop Lefroy Road
Paul Mansions,
Kolkata-700 020

debjani.ray@medicaretpa.co.in

Tel: -40079991,9992,9993
Free: 18003453339
Fax: -9103322806111
Website: www.medicaretpa.com
12. Vipul Med Corp Insurance TPA Pvt. Ltd.
Licence No. 024
A. K. Sachdeva
Vice President
107 & 109,
1st Floor,Shilpin Centre,
G. D. Ambekar Marg,,
Wadala (W) ,
Mumbai - 400 031.
Tel: 022-24160031, 022-40764545 (24 Lines)
Fax: 022-40764555
Mr.Rajan Subramaniam - CEO
515, Udyog Vihar,
Phase V,
Gurgaon-122 016,
Tel: 0124-4308780

Regd. Office:
B-416 Ansal Chamber I,
Bhikaji Cama Place,
New Delhi - 110 066,
Tel: 011-46074578-81
Fax: 011-41659833
Tel: +91-124-4833900, 4699600
Fax: +91-124-2438276, 4699611-12, 430821
Toll Free: 1800 102 7477
info(at)vipulmedcorp.com
www.vipulmedcorp.com External Website that opens in a new window
13. Good Health Insurance TPA Services Ltd.
Licence No. 023
Mr. Vijay Yadav
Branch manager
P.S. PLASTIC INDUSTRIES
PLOT NO -A-10, MIDC
CROSS ROAD B, STREET NO-5,
ANDHERI (East)
MUMBAI-400 093
Tel: 022-65543888 / 65549444
Fax: 1860 425 4242
Mr.R K T Krishnan - CEO
Plot No.49,
Nagarjuna Hills, Panjagutta,
Hyderabad-500 082
Tel: 1860 425 1860 425 3232 / 1800 425 3232
Fax: 1860 425 4242
Customer.care(at)ghpltpa[dot]com
www.ghpltpa.com External Website that opens in a new window
14. UnitedHealthcare Parekh Insurance TPA Pvt. Ltd
Licence No. 002
Mr.Prashant Nagarkar
VP – Business Operations
Mobile: 9833418021
3B GundechaOnclave, Kherani Road,,
Saki Naka, Andheri(East),,
Mumbai – 400 072
Tel: 022-30657300
Fax: 022- 28528222
Mr.Nitin Srivastava - COO
3B GundechaOnclave,
Kherani Road, Saki Naka ,
Andheri(East),
Mumbai – 400 072
Tel: 022-30657300
Fax: 022- 28528222
nitin.srivastava(at)uhcindia[dot]com
15. Med Save Health Insurance TPA Pvt. Ltd.
Licence No. 019

 S.N. Shetty
Regional Manager


Mobile: 9322818506
Address: 265, Engineer Building, 3rd Floor, S.G. Marg, Marine Lines , Mumbai-400002

E-Mail: shetty@medsave.in

Tel: 022- 40369818,
40369819, 40369820
Fax: 022- 40369821, 22032509
Toll Free No: 1800111142
Email: mhclmumbai@medsave.in
Dr Adish Labru
Medical Director
Mobile No: 9312880008
Address: F 701 A Lado Sarai, Mehrauli, New Delhi
E-Mail: adish@medsave.in
Tel: 011-39001234/29521061- 66
Fax: 011-29521067, 29521071
Toll Free No:1800111142
info@medsave.in
www.medsave.in
16. Ericson Insurance TPA Pvt. Ltd
Licence No. 035

Dr. Krishna P Jaiswal
Managing Director


Mobile: 9920095077
Address: New Vijay Cinema Building, 4th Floor, S. T. Road, Chembur, Mumbai-400071

 

Tel: 022- 25280280
Fax: 022- 25270200
Toll Free No: 1800222034
Email: krishna@ericsontpa.com
Mr. Kishor H Pawar
Operation Manager
Mobile No: 9167251891
Address: 4th Floor New Vijay Cinema Building,S. T. Road, Chembur,Mumbai-400071
Tel: 022-25280280
Fax: 022-25270200
Toll Free No: 1800222034
kishor@ericsontpa.com
www.ericsontpa.com

17. Health Insurance TPA of India Ltd.  Licence No. 036

 Mr. M.N. Sharma- MD and CEO

Corporate office:
3rd Floor, IFCI Towers,
61, Nehru Place,
New Delhi - 110 019

Tel: 011-49043300
Fax: 011-49043399
Mr. M.N. Sharma - MD and CEO
Corporate office:
3rd Floor, IFCI Towers,
61, Nehru Place,
New Delhi - 110 019
Tel: 011-49043300