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Third Party Administrators (TPA)

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. IRDA, which licenses and regulates these TPAs, has specified stiff entry norms some of which include a minimum capital requirement of 1 Crore, capping the foreign equity at 26% etc. 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 India has tied up with 18 TPAs

THIRD PARTY ADMINISTRATORS ADDRESSS TELEFHONE NOS.

S.R.
No.		 Name of the
TPA Company		 Name of the Contact
Authorised in mumbai		 Telephone No/
Fax No in Mumbai		 Contact Person/
Address		 Telephone No / Fax No.

1

Mediassist India Pvt.
Ltd.
Licence No. 003

Shrinivas Manche
Cell No. 9322907016
5th Floor,
Oricon House,
12Kalkushroo
Dubash Marg,Mumbai-400 023

Tel: 022-3027 2750-54

Fax: 022-6637 6933

Mr. V. Suresh. CAO

49,1st Main Road,
Sarakki Industrial Layout,
3rd Stage,J.P.Nagar,
Bangalore-560 078

Tel:080-26538790/91/92
      080-26584811

Fax:080-26538793

Email:
ganesh@mediassistindia.com

2

M D India Helthcare Services
( P ) Ltd.
Licence No. 005

Mr.Chaitanya Gujarathi - Asst Gen. Manager                  Cell No. 9322341788


204, VTM Building No. 2, Mehra Compound,
Andheri - Kurla Road, Saki Naka,Andheri (E), Mumbai - 400072.

Tel:022-2856 5080

Fax:022-2856 5090


Toll Free No:
1800 233 1166/4505

E-Mail:
mumbai@mdindia.com

Website:
www.mdindia.com

Mr.Suresh V. Karandikar.
CEO

Tel:020-25300000 
S. No. 46/1, E-space, A-2 Building, 4th floor,
Pune Nagar
Road, Vadgaonsheri, Pune 411014

Tel:020-25300000

Fax:020-25300030

Toll Free No:
18002331166/4505


Email: info@mdindia.com

3

E Meditek Solutions
Ltd.
Licence No. 007

 

Tel:0124-25062068-70/
      4555071-72

Fax:0124- 4555071-72

Email:
contactus@emeditek.com

Mr. Gopal Verma.
MD

Mob:09811015515
45,Nathurpur Road,
DLF Phase-III,
Gurgaon

Tel:0124-25062068-70

Fax:0124-25062071/72

Enail:
contactus@emeditek.com

4

Heritage Health Service
Pvt. Ltd.
Licence No.008

   

Mr.Sunil Parakh
C.E.O.

Nicco House,
5th Floor ,
HERA Street,
Kolkatta - 700 001,
West Bengal.

 

5

Universal Medi-Aid Services Ltd.
Licence No. 009

   

G.P.Sureka - CEO

1)1104,Akash Deep,
26A, Barakhamba Road,
New Delhi - 110001.

Tel:011- 23717501, 23717502

Claim:23320101 , 23717081

Fax:23315890

E-mail:
claims@umsltpa.com
info@umsltpa.com

Website:
www.umsltpa.com


       

2) 1009 ,
Pragati Tower,
Rajendra Place ,
New Delhi - 110008.

Tel:25728896/97

Fax:25728898

E-mail:
licdelhi@umsltpa.com


6

Focus Healthcare
Licence
No. 010

1]162 A mittal Towers,A-Wing Nariman Point
Vidhan Bhawan Marg Mumbai

2] Off.No.2,
Nilkanth Apt.,
Plot No.1018,Deep
Bunglow Chowk,Model Coloney, Gokhale
Nagar Road, Pune.

Tel:+91 022 32100350
      +91 022 32100850
      +90 20 32329431

Mr. Praful Bhalerao CEO/ED

91 93101-94747 /
91 98910-27060
510 Surya Kiran ,
Kasturba Gandhi Marg
New Delhi - 110 001.

91 93101 - 94747 /
91 98910-27060
91 11-4359 2999 /
4359 2989

Email: praful.bhalerao@focushealth.in
www.focushealthcare.in

Toll Free No.: 1800 112 999


7

Medicare TPA Services
( I ) Pvt.
Ltd.
Licence No. 012

Mr.D'Mello

Tel:65744983
4,
JAGDEEP COTTAGE
Ground Floor,
Next To Syndicate Bank.
4th Road,
Khar (W),
Mumbai - 400 052

Tel:65744983 , 2604 0701

Fax : 2649 2240

website: www.medicretpa.com

Ms.M. Maharana.
CAO

Flat No. 10,
Paul Mansions,
6,Bishop Lefroy Road,
Kolkata-700 020

Tel:033-2280 9510, 2281 2826,       033-2289 3385

Fax. 033-2280 6111

Email:
medicaretpa@vsnl.net

Website:
www.medicaretpa.com

8

Raksha TPA Pvt. Ltd.
Licence No. 015

1)Kailash Shukla
Regional Manager

2)Prasad K V Laxman
Manager Finance

7,Kumtha Street,
Ballard Estate,
Mumbai-400 001.

Tel:022-22632727

Fax: 022-22632450/51
       9810912121

Mr. Pawan Bhalla.
CEO

Tel:9810912121
15/5 Mathura Road,
Faridabad

0129-2250000/01/
5043059

Email:
Raksha@escolife.com

Fax:0129-2250002



9

TTK
Health
care Services Pvt.Ltd.
Licence
No. 016

Mrs.Sudha Kulkarni
Br.Mgr.Tel:9967006203

3rd Floor , AFL House ,
Lokbharti Complex , Marol maroshi Road ,
Andheri Kurla Road ,
Andheri (East),
Mumbai - 400059.

Tel:022-23050312
     23004965

Fax:022-23001167

Toll Free No: 1800 22 1717

Toll Free Fax: 1800 22 1919

Shri Girish Rao.
CEO

#7,Jeevan Bima;
Nagar Main Road,
HAL III Stage,
Bangalore-560 075

080-40125678

Email:
care@ttkhealt hcareservices.com

Fax: 080-4159215

10

East West Assist Pvt. Ltd.
Licence No. 018

   

37, Prithviraj Road ,
New Delhi - 110011

Ph. 011-24699229 /
      24641875


Fax. 011-24690426


11

Alankit Health
Care Limited
Licence No. 021

Mr.Prashant Deshmukh
Vice President

Mob. No. 9822087127
R R House,
Ideal Industris Estate,
Opp.,New Empire Mils,
Senapati Bapat Marg,
Lower Parel,
Mumbai - 400013.

Tel:022-23841251/       252/253/254/255

Fax:200- 23841266/67/68

Mr.Prashant Deshmukh
Vice President

Mob.No: 9822087127
R R House,
Ideal Industris Estate,
Opp.,New Empire Mils,
Senapati Bapat Marg,
Lower Parel,
Mumbai - 13

EMail:
pdeshmuku@ alankitonline.com

 

Tel:022-24821234
     022-40501234

Fax:91-22-24821201


12

Health
India
Licence
No. 022

Dr.Vinod Jain
Head TPA-Medical & Networking

Tel:9324033310/
      022- 67557980

Comercial Union House,
2nd Floor,
9,Wallace Street,
Fort,
Mumbai - 400 001.

Tel. 2207 0869 / 2207 2482

Fax: 022-2207 3204.

E-mail:
vinodj@healthcare-india.com

Website:
www.healhcare-india.com

Mr.Felix Walder.
CEO

Tel:9892236332

Anand Commercial
Co.Compound,
103-B L B Marg,
Gandhi Nagar,
Vikhroli
Mumbai 400083

Tel:022-67557900(30 Lines),

Fax:02267557910,25783382. 67557946

Email:
contact@healthcare- india.com

13

Good Health Plan Ltd.
Licence No. 023

   

Mr.Amarnath Potluri.CEO
8-2-1/8/1,S.V.R. Towers,
4th Floor,

Srinagar Colony Road,
Panjagutta
Hyderabad-500 082

Tel:040-66825003,23735006,
66257167

Fax:040-66828081 / 88 / 89

Email:mail@ghpltpa.com

Website:www.ghpltpa.net

14

Vipul Med Corp TPA Pvt. Ltd.
Licence
No. 024

A. K. Sachdeva - Asstt.Vice President

B - 14,
Wadala Udyog Bhawan ,
Wadala ( W ) ,
Mumbai - 400 031.

Tel:022-40764545(24 Lines)

Fax - 022- 40764555

Mr.Rajan Subramaniam.
CEO

515,Udyog Vihar,
Phase V.
Gurgaon-122 016

Tel.:+91-124-2438270-75

Fax:+91-124-2438276

E-mail: info@vipulmedcorp.com

       

S K Malhotra
COO

Regd. Office:
 B-416 Ansal Chamber I,
Bhikaji Cama Place,
New Delhi - 110 066.

Tel. 011-46074578-81

Fax. 011-41659833

15

Safeway Mediclaim Services Pvt. Ltd.
Licence
No. 026

B. V. Samdolikar
Manager

Mr. Ccheda - 9811197925

25-28,HajiBapu Manzil, Datta Mandir Road
Malad - East,
Mumbai - 400 097.

Tel: 022 - 28832633

6/2 First Floor, NearSBI,
Kirti Nagar, Industrial Area
New Delhi- 110 015

011-4142 5671,25464823

Fax:011-41425672/
      912266466797

Website:
www.safewaymediclaim.com

16

Anmol Medicare Ltd.
Licence
No. 027

   

Mr.M.N.Shah
Chairman

2nd Floor,NBCC House,
Opp Ahmedabad Stock
Ex. Ambawadi,
Ahmedabad 380015.
Gujarat

Tel. 079-40009999 / 30 / 26

Fax: 079 40009990

Website: www.anmolmedicare.in

17

Dedicated Health
care Services (India)
Ltd.
Licence
No. 028

Mr. R. Srinivasan
CEO - 9967641877

Cambata Building,(Eros Theatre Building)
East Wing,3rd Floor,42 M Karve Road,
Maharashtra

022-22875052 /
022-22795900

Toll Free No: 1600220201

Fax:022-2287 4235
       022-22795900

Toll Free No: 1800220201

1)Cambata Building,
(Eros Theatre Building)
East Wing,3rd Floor,
42 M Karve Road,
Maharashtra

2)Dr.V.N. Bhargava - CEO 

Tel:9819711877

18,2nd Floor Khetan Bhavan,
J.Tata Road.
Churchgate, Mumbai

022-22875052

Toll free no.1600220201

Fax:022-2287 4235
022-22795900,

Toll free no.1800220201

E-mail:
vnbhargava@dhs-india.com

18

Genins India Ltd.
Licence No.

Kr. Vikram Singh
Chief Operating Officer

C-101,102,
Green Lawn Apt.,
Opp. Saint Plus College Aarey Road,
Goregaon ( East ) Mumbai - 400 063.

Tel: 022- 26865611 / 26865612

Fax - 022- 26865541

Kr. Vikram Singh

Chief Operating Officer
D- 60, Sector - 2
NODIA - 201 301.

Tel. 0120- 2539961 - 68

Fax - 2539969 - 70


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