We have developed our own state-of-art claims IT system, and we are in process to built up tone of the largest direct billing hospital (Cashless) network hospitals across the India. We are in better position to provides full-range comprehensive health insurance services, including, enrollment, claims processing, pre-authorization, case management, emergency assistance, network maintenance and other customer services right in all over india. Innovation, flexibility, speed and superior service are the hallmarks of our commitment to our valued clients. We are ready to provide you with the best customer service for now and in the future.As a responsible customer focused health benefit TPA, the company will strive to understand the needs of insurers in its endeavor to provide quality service that can win the trust of policy holders and translates into portfolio growth for the insurer. We are in process to blend the art of health benefit administration with technology, innovations and best practices in our constant endeavour to deliver the very best to registered members. Our strong relationship with insurers, health providers and host of other partners will make it possible for us to attain excellence in every activity that we undertake as a TPA.Our core competence lies in:Reducing claims cost while ensuring quality care for our valued customers.Checking fraud & abuse, promoting preventive care & wellness programs.advanced analytics and predictive modeling.Our robust technology platform is in position to support wide spectrum of services to growing volumes of customers with ever growing demands and wide range of health insurance products. We are providing E Card, SMS Alerts, and will constantly upgrade our service delivery for ease and convenience of all stake holders, including system integration with insurers and providers. Our skilled and trained manpower are our biggest asset and our internal processes like concurrent audit, fraud alerts, Gatekeeper negotiations/case management, verification & investigation of suspect cases, tariff arrangements and discounts with hospitals etc. will be unmatched in the industry, resulting in one of the lowest claims cost. 

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Last updated 22 May 2020

Contact

Address

11C, 2nd Floor Corporate Park, Sion - Trombay Rd,
Chembur - 400071, Mumbai, Maharashtra, India

Website

ericsontpa.com