TPAs

Problems faced by hospitals in getting timely claim payments from TPAs and Health Insurers

In today’s world of Payer getting increasingly powerful like Government insurer making the process stricter is leading to hospital having outstanding payments with Government and private insurers and TPAs for the services provided. Hospitals need to put in place a dedicated TPA desk and processes and systems including using a robust billing and EMR system to avoid those delays or denials of their payments by TPAs. Over the past few years, the popularity of cashless health insurance has shot up several notches with obvious reasons. The major advantage of this is to ease the burden of financial losses that need to be incurred at the time of any unforeseen accident. Cashless insurance service calls for a hassle-free process in which you have to not be tensed of cash in case of any emergency. However, few challenges have to be faced while dealing with cashless health insurance claims.

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