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

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.