Author: parastar

Paramount TPA (Claim Status, Customer Care, Hospital List, and more)

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Genins India Insurance TPA (Services, Customer Support and more)

Post author By parastar
Post date October 22, 2022

Learn about Genins India Insurance TPA (A Simple Guide)

Genins India Insurance TPA is an Indian Third Party Administrator (TPA) that acts as a bridge between insurance companies and their policyholders. The TPA company was founded in 1996 and currently operates in 250+ Indian Cities, and has over 30+ offices across the nation.

If you are a customer of Genis India Insurance TPA, there are certain important topics that you would wish to know about, we will talk about the following important aspects of the company:

Role of Genins India Insurance TPA
How to file a claim?
How to login?
Health Card
Downloads
Network Hospitals
Customer Care
Mobile App

Role of Genins India Insurance TPA

As a TPA Company, Geninis India has the following roles:

Customer Enrollment: Potential customers are enrolled to their service after their sales team explains the benefits and features of their chosen insurance policy.
Claim Management: Once a customer is enrolled, it is the job of the TPA company to ensure that any claims initiated by the policyholder is managed by the TPA company.
Customer Support: The TPA company should act as a single point of contact for the policyholder as the customer has taken the insurance policy through the TPA company. All queries and grievances should be handled by the TPA company.
Issuance of Health Card: The TPA company handles the issuance of Health E-Cards. The policyholder can present this card to the hospital and avail treatment.

How to File a Claim?

You can file a claim either online or offline. Let us talk about both methods below:

Offline Claim Submission

Step 1) Intimate your insurance agent or Genins TPA

The first thing you should do is immediately inform your agent or TPA company about the hospitalization.

Step 2) Decide on whether the claim will be a cashless claim or not

Now, you will have to take a call whether your claim will be a cashless claim or a reimbursement claim. If your claim is a cashless claim, then the entire claim will be directly handled by the insurance company and the hospital. If it is a reimbursement claim, then you will have to meticulously keep a record of all medical documents and store them safely.

Step 3) Submission of documents

If you opt for a reimbursement claim, you will have to submit all of the requested documents such as medical reports, diagnostic reports, admission summary, discharge summary, doctor’s reports, etc to the TPA company. All originals must be submitted. Keep a Xerox copy of all submitted documents for your personal record. Once all documents are submitted, the insurance company will assess the claim.

Online Claim Submission

You can also submit your claim online through the official website. Here’s how:

Step 1) Visit the official Genins TPA website

Step 2) Navigate to ‘Online Intimation’ button

Step 3) Enter your details

Here, you will need to enter the following details:

Card Number
Policy Number
Employee Code

Once entered, click on next and progress, your claim will be intimated to the company. Next, you will have to physically submit the documents to the TPA company to finish your claim submission process.

How to Login?

In order to login you will need to visit the official Genins India TPA Website and navigate to the ‘Login’ section on the top bar.
Once you click on the ‘Login’ button, you will get a selection of logins, Agent login, Insured login, Corporate login, Hospital login, etc.
You will need to select your preferred login and enter your username policy number and click on ‘login.

Health Card

How can you download your Health E-Card?

Step 1) Visit the official website

Step 2) Navigate to the ‘Print E-Card’ button

Step 3) Download E-Card

Now, enter your policy number and employee number, and press on ‘Download E-Card.’

Downloads

There are a host of important documents and forms that you can download from the Genins India TPA Download Section, they are:

Authorization Request Form
Reimbursement Claim Form
Claim Intimation Form
PPN Declaration Form
KYC Guidelines
Cashless Claim Form
Claim Submission Checklist

Just navigate to the ‘Downloads’ section on the top bar of the home page and click on it. You will now be able to download all of the above forms and documents.

Network Hospitals

Why is it important to check out if your preferred hospital is a network hospital? Well, you can only avail cashless hospitalization through a network hospital. If you get admitted to a non-network hospital, you will have to opt for a reimbursement claim. Therefore, it is extremely important to check if your preferred hospital is an empaneled or network hospital.

Check if your hospital is a network hospital with Genins TPA by following the steps below:

Step 1) Visit the official Genins TPA Website

Step 2) Click on ‘Network Hospitals’

Step 3) Check your hospital

Now, enter the following details:

Insurance company
State
City

Now, click on ‘Search.’ You will now be presented a list of all empaneled hospitals for your selected city/state.

Customer Care

Department

Contact Details

Customer Support

18008902359 / +91-120-4144100

gil@geninsindia.com

Senior Citizens Helpline

+91-120-4144100

seniorcitizens@geninsindia.com

Source: Geninsindia.com

You can also reach out to them using their online form.

Mobile App

You can also access the various services and features of the company through their official mobile app (Android) here. The company, as of today does not have an IOS App for Apple users.

https://www.eastwestassist.com

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East West Assist Insurance TPA (Services, Customer Support and more)

Post author By parastar
Post date October 21, 2022

Learn about East West Assist Insurance TPA

East West Assist Insurance TPA is an Indian TPA company registered with IRDA, it is based out of New Delhi. The Company operates across 29+ Indian states and has a presence across 500+ offices nationwide. East West Assist Insurance TPA has also handled over 10 Lakh claims, having a claim settlement record of 97%.

Let’s talk about the most important aspects of East West Assist Insurance TPA, such as:

Role of East West Assist TPA
Claim submission
Download Health Card
Customer Support
Empaneled Hospitals

Role of East West Assist TPA

Mentioned within are some of the most important roles of the company, they are:

Enrolling and on-boarding customers to their platform after educating them about the various types of insurance products, and helping them in choosing the best insurance product for their needs.
Issuance of Health Cards to policyholders that they can present to hospitals during treatment.
Provide customer support to policyholders during hospitalization and even post hospitalization.
Deciding on the merit of claims and thereby assist in the disbursement of claims to policyholders.

Claim submission

If you are a customer of East West Assist Insurance TPA and are looking to find out how you can submit your claim to the company, look no further. You can submit an online claim by following the below mentioned steps:

Step 1) Visit the official website of the company

Step 2) Navigate to the ‘Register Claim’ section on the homepage

Step 3) Click on ‘Register Claim’ and fill-up the details

Here, you will be asked the following details:

Claim Type
CCN Number
Policy Number
Full Name and Registered Contact Number
PAN Number
Hospital Name
Claim File (You will have to upload it)

Once done, click on ‘Submit.’

Download Health Card

Having your health card or policy bond is extremely important. Let us see how you can download your of East West Assist Insurance TPA Health Card:

Step 1) Visit the official website

Step 2) Navigate to the ‘Login’ button and login to the portal

Here, you will need to click on ‘Individual Login.’ Enter your username and password and click on ‘Login.’

If you do not have your login credentials, you will need to contact the support team or your insurance agent for the same.

Step 3) Request Health Card

Once logged in, you can now request for your Health Card. You can also check the status of your Health Card by clicking on the ‘Card Status’ button on the home page.

Customer Support

You can reach out to East West Assist Insurance TPA’s customer support through the following contact details:

Department	Contact Details
Support	+91-9711779711 / assistance@eastwestassist.com
Senior Citizen Support	011-47222647
Cashless Department	011-4722260/615/626 \| 7838807980
Grievance	011-47222620
Health Card	011-47222631\|9711779711
Hospital Enrollment	011-47222628\|011-47222602
Reimbursement	011-47222666/634/638/6113 \| 9711779711

Empaneled Hospitals

Find out a list of all of the Empaneled Hospitals associated with East West Assist Insurance TPA here.

Paramount TPA (Claim Status, Customer Care, Hospital List, and more)

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What are Consequential Damages in Insurance (With Examples)

Post author By parastar
Post date October 20, 2022

What are Consequential Damages in Insurance? (With Examples)

There are 6 types of damages in insurance, they are incidental, compensatory, nominal, liquidated, punitive, and consequential damages. Today, we will discuss about the meaning of consequential damages in insurance and its examples.

What are Consequential Damages in Insurance?

A consequential loss or damage is a collateral damage occurring due to loss or damage to the insured object. Here, even though the insured object is covered, the policyholder will not be protected against the collateral damage as the insurance company did not provide coverage towards any collateral damage.

This concept can be slightly confusing but we will attempt to explain to you using simple examples so you understand the concept of consequential loss or damages.

Examples of consequential damages

Example of consequential damages in motor insurance

Let us assume that Mr. Sam bought a bike insurance policy for his motorbike. Now, Mr. Sam parked his bike in a no parking zone, causing it to be towed by the authorities. During the towing process, the tow truck driver was not careful while driving and caused damages to Mr. Sam’s bike.

Now, even though Mr. Sam has a bike insurance policy that covers physical damages, he will not be covered by the insurance company as Mr. Sam parked in a no parking zone. It will be deemed as a consequential loss to Mr. Sam.

Example of consequential damages in travel insurance

Let us assume that Mr. Ricky is a businessman and travels often to other parts of the world for business deals. Mr. Ricky is a smart individual and always opts for travel insurance.

Let us further assume that one of Mr. Ricky’s flights got cancelled due to whatsoever reason, causing him financial loss due to him missing a business opportunity. Now, the insurance company will compensate Mr. Ricky for his air ticket cost, but it will not compensate him for the loss caused due to his missed business opportunity as it was consequential loss.

Example of consequential damages in property insurance

Let us assume that Mr. Jagmohan is a businessman having a factory. He has insured his factory against damages caused due to fire. Now, a few months after he bought his insurance policy, his factory met with a fire, causing the total loss of all of his machinery and inventory.

As his factory was covered against damages due to fire, Mr. Jagmohan will be compensated for the loss of his machinery and inventory. However, the collateral damage of this event will have fare reaching consequences, as Mr. Jagmohan will have to keep his factory closed for many months, halting production and thereby resulting in financial loss to his business. This consequential loss will not be covered by the insurance company.

Principle of Indemnity

Principle of Contribution

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Heritage Health Insurance TPA (Services, Customer Care, and more)

Post author By parastar
Post date October 18, 2022

Learn about Heritage Health Insurance TPA

Heritage Health Insurance TPA is an Indian TPA company that was founded in 1998 and is currently headed by CEO, Mr. Sunil Parakh. The company currently has over 19 offices across the nation. Heritage TPA is part of The S K Bajoria Group of companies.

Let us talk about the most important aspects of Heritage TPA, such as:

Role of Heritage TPA
Login and Registration
Claim Submission
Empaneled Hospitals
Customer Care
Health E-Card
Download Forms

Role of Heritage TPA

As a TPA company, Heritage TPA acts as a bridge between the insurance company and policyholders. The company’s primary role includes the following:

Providing customer support to policyholders during hospitalizations.
Assisting customers during the enrolment and on boarding process.
Issuance of health cards to policyholders.
Claims management services.

Login and Registration

How can you Register / login to the official Heritage TPA website? Here’s how:

Step 1) Visit the official website

Step 2) Navigate to the Login / Registration section

Step 3) Enter your details and login or register

Claim Submission

You can also submit your claims to Heritage TPA through their online portal. Here’s how:

Step 1) Visit the official website

Step 2) Navigate to the ‘Claim Submission’ button

Step 3) Enter your details

Here, you will need to mention the following details:

Claim type
Insurance company name
Email ID
Mobile number
CCN / Card No

You will also need to upload all of the relevant medical documents to the portal.

Empaneled Hospitals

It is extremely important that you find out whether a hospital is a network or empaneled hospital before you decide on getting admitted to the hospital. The reason for this is rather straight forward, cashless claims will only be provided in hospitals that are empaneled with the insurance company. Always be sure to check out if your preferred hospital is a network hospital.

You can check out if your hospital is an empaneled hospital in 3 simple steps:

Step 1) Visit the official Heritage TPA website

Step 2) Navigate to the ‘Hospitals’ section

Once here, click on ‘Empaneled Hospitals’

Step 3) Fill up the details

Now, you will need to select your state, city, and insurance company. Once done, you will get a list of all the network hospitals associated with your insurance company.

Customer Care

City	Phone Number	Email ID
Kolkata	(033) 2248 2411 (033) 4014 5100 / 4033 4141 (033) 4014 5200 (033) 4033 4141	heritage_health@bajoria.in
Mumbai	(022) 61273891/3892/3893 (022) 69062500	heritagehealth@vsnl.net
Hyderabad	(040) 2324 4264	heritagehyd@bajoria.in
Vizag	(0891) 2713917	hhsplvizag@bajoria.in
Chennai	(044) 4260 4135/ 2829 0400 /10/30	hhsplchennai@bajoria.in
Delhi	(011) 4300 9540/41/42/43/44	hhspldelhi@bajoria.in
Surat	(0261) 400 0046/403 1544-46	hhsplsurat@bajoria.in
Ahmedabad	(079) 4027 2801-04	heritageahmd@bajoria.in
Bangalore	080-26423736, 080-26423746	hhtplbangalore@bajoria.in
Uttar Pradesh (UP)	(0522)424-8870	suhasismaity@bajoria.in
Pune	08421787005	hhtplpune@bajoria.in
Jaipur	0141-294 4765	hhtpljaipur@bajoria.in

Health E-Card

How can you download The Heritage TPA Health Card? Here’s how:

Step 1 ) Visit the official website

Step 2 ) Click on ‘E-Card Download’

Step 3) Enter your details

Here, you will need to enter the following details:

Insurance company name
Your name
Policy year
Emp ID

Once entered, click on ‘Submit.’

Download Forms

You can download the required forms by doing the following:

Step 1) Visit the official website and navigate to the ‘Download Forms’ section

Step 2) Select the form and download

Available forms include:

Claim Forms (Cashless and Reimbursement)
PPN Declaration Forms
Pre Authorization Form

Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

What is TPA in insurance? (Understand its concept and role)

Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

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Health Insurance

Medi Assist TPA (Complete Details)

Post author By parastar
Post date October 18, 2022

Learn about Medi Assist TPA (Complete Details)

Medi Assist TPA acts as a Third-Party Administrator between insurance companies and policyholders. A TPA basically acts as a link between the insurance policyholder and the insurance company. Medi Assist TPA was founded in 2000 by Mr. NS Raghavan.
The company currently has around 3000 employees, has a presence in over 45 cities in India, and has its registered office in Bengaluru, India.

Let us now talk about some of the most important points about Medi Assist TPA, they are:

Products and Services
Customer Support
Submission of Claims
Download E-Card
Claim intimation
Medi Assist TPA Hospital list
Company Management
Notable Accomplishments

Products and Services

Services

The company provides the following services:

Enrolment and on boarding: Medi Assist TPA’s marketing and on boarding team looks after customer acquisition and enrolment. They guide potential customers about the types and kinds of insurance policies available, and the most suitable policy for their needs and requirements.
Providing customer support: Providing customer support is one of the most important function of any TPA company. It is the TPA company’s duty to ensure that all customer queries, questions and grievances are catered to and the best possible support is extended to the policyholder.
Management of claims: During a claim, the claimant will submit the claim to his/her TPA company and the TPA company will look after the claim management process thereafter. They will act as a link between the policyholder and the insurance company. It is the role of the TPA company and the agent to smoothen things out for the policyholder.

Products

The company provides the following products to its customers:

Member platform: The member platform provides policyholders with all of the important details pertaining to their insurance policy. Once logged in, all important insurance related reports can be accessed and downloaded.
Outpatient platform: The Outpatient platform can be used by policyholders to get access to important outpatient related details.
Claims management platform: Policyholder claims can be accessed and managed through this platform.

Their customers can leverage these technologies in order to get better results for themselves and their families.

Notable Accomplishments

Details	Stats
Claims settled	60 Lacs+
Active members	4.5 Cr+
Offices	27
Insurance partners	30

Customer Support

Department	Phone Number
Helpline	080 22069449
Helpline	1800 425 9449
Senior Citizen Helpline	1800 419 9493
Email	info@mediassist.in
SMS Facility (to know claim status)	SMS “CLAIMS ” to +91 96631 49992

Submission of Claims

You can submit your claim to Medi Assist TPA using the following method:

Step 1) Visit the official Medi Assist TPA website

Step 2) Navigate to the ‘Intimate Claim’ section at the bottom of the website

Step 3) Enter your details

Here, you will need to enter either your Medi Assist ID / Employee ID / Policy No. Once entered, click on ‘Identify.’
Follow the next guided steps and submit your claim online.

Download E-Card

This is how you can download your Medi Assist TPA E-Card:

Step 1) Visit the official Medi Assist TPA website

Step 2) Navigate to the ‘Download eCard’ section at the bottom of the website

Step 3) Enter your details

Here, you will need to enter either your Medi Assist ID / Employee ID / Policy No. Once entered, click on ‘Identify.’

Medi Assist TPA Hospital list

Check out all of the affiliated hospitals here.

You will simply need to enter your city location and insurance company and the system will show you a list of all empaneled hospitals within your city.

Company Management

Name	Contact Details
Dr. Vikram Jit Singh Chhatwal (Director)	https://www.linkedin.com/in/dr-vikram-chhatwal-विक्रम-छतवाल-30372082/
Srimathy Ranganathan (Director)	https://www.linkedin.com/in/srimathy-ranganathan-406b70156/?originalSubdomain=in
Satish Gidugu (CEO)	https://www.linkedin.com/in/satishgidugu/

Source: Medi Assit TPA

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Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

Post author By parastar
Post date October 16, 2022

Learn about Medvantage Insurance TPA (A Simple Guide)

Medvantage Insurance TPA is a third-party administrator that has ties with health insurance companies, and helps in providing health insurance related services to policyholders. Medvantage Insurance Tpa was founded in 2001 and currently has 8 offices across India, including offices in Mumbai, Hyderabad, Pune, Kolkata, and Bangalore. The company’s registered office is in Airoli, Navi Mumbai.

Let us talk about the most important topics concerning Medvantage, such as:

Services
Medvantage Insurance Login
How to download Medvantage E-Card
Customer Care
Empanelled Hospital List
Company Management

Services

Enrolment: Potential policyholders are brought aboard rather seamlessly through their online enrolment process, where customers can understand the different types of policies, their benefits and features.
Customer Support: This is the fundamental service offered by any TPA company, they support the policyholder during their time of need. They assist the policyholder and their family during the difficult time of hospitalization as well as post and pre-hospitalization customer support.
Claims Management: Medvantage TPA handles claims management where they vet the claim application and investigate the case. If all things are in alignment, they will then begin the claim disbursement process.
Account Management: All your communication with the TPA company is handled through experienced account managers that ensure that there isn’t a communication gap during correspondence.

Medvantage Insurance Login

You can login to your Medvantage TPA account by visiting the following link.
Once on the login page, you will need to enter your Email ID/ Mobile Number/ User ID and your password. Once entered, click on ‘Login.’

What are the benefits of logging in? Well, you can submit your insurance claim online, and you can even track your claim status online after logging in.

How to Download Medvantage E-Card

You will need to download your Medvantage E-Card in order to access cashless treatment at affiliated hospitals. How can you download the E-Card?

Step 1) Visit the official website

Official website: https://medvantagetpa.com/

Step 2) Navigate to ‘Download E-Card’

Step 3) Enter your details

Now, you can download your E-Card by either entering your registered phone number or your registered Email ID. You will need to enter the following details:

Registered phone number/ Email ID
OTP number
Captcha details
Once entered, click on ‘Verify’

Customer Care

You can contact Medvantage TPA in multiple ways, let’s mention them below:

Email

Department	Contact Details
Customer Service	customerservice@medvantagetpa.com
Grievances	Grievances
General Enquiry	contactus@medvantagetpa.com

Phone Numbers

Department	Contact Details
Customer Service	1800-209-8884
Cashless Department	1800-209-8444
Senior Citizens Helpline	(022)4933-7781

You can also contact Medvantage through their online contact form. Just mention your name, email ID, query, phone number, and click on ‘Submit.’

Empaneled Hospital List

It is extremely important to find out if your desired hospital is empaneled with your insurance company, as you will only be able to take advantage of cashless hospitalizations in empaneled hospitals. You can find a list of all of the empaneled hospitals with Medvantage here.

Once on this page, you will need to enter the following details:

Name of your insurance company
City
Hospital name
Pin code
Captcha

Now, press on ‘Search.’ You will now get a list of all of the network hospitals in your area.

Company Management

Name	Contact Details
Nimish R Parekh (Chairman)	https://sg.linkedin.com/in/nimishparekh
Prashant Nagarkar (Vice President)	https://in.linkedin.com/in/prashant-nagarkar-618ba612
Sanjay Kotkar (Claims Manager)	https://in.linkedin.com/in/sanjay-kotkar-897132217

What is TPA in insurance? (Understand its concept and role)