Private Insurance & TPA Management
Private Insurance and Third Party Administrator (TPA) empanelment is essential for hospitals to provide cashless treatment facilities, expand their patient base and maintain stable revenue flow.
Structured insurance and TPA management ensures smooth claim processing, compliance with policy guidelines, transparent billing practices and improved patient satisfaction.
Manavi provides comprehensive support in private insurance empanelment and TPA coordination.
Insurance Company Empanelment
Scope Include:
- Private Insurance Company Registration
- Documentation Preparation
- Tariff Structuring & Package Alignment
- Policy & Compliance Review
- Application Filing & Follow-Up
- Agreement & Renewal Monitoring
Benefits:
- Increased insured patient inflow
- Eligibility for cashless treatment
- Improved institutional recognition
- Stable revenue stream
TPA (Third Party Administrator) Management
TPAs manage insurance claims between hospitals and insurance providers. Structured coordination reduces administrative burden and claim delays.
Services Include:
- TPA Network Registration
- Coordination for Cashless Approval
- Documentation Standardization
- Claim Processing Workflow Alignment
- Discharge & Billing Documentation Review
- Follow-up on Pending Claims
Benefits:
- Faster claim approvals
- Reduced claim rejection
- Transparent billing process
- Improved patient experience
Rohini Registration Support
Rohini Registration supports standardized hospital identification within insurance networks.
Includes:
- Registration Documentation
- Compliance Alignment
- Online Application Support
- Status Monitoring
Benefits:
- Insurance network accessibility
- Improved claim processing efficiency
- Structured identification within insurance systems
Revenue Cycle & Documentation Support
Insurance management requires accurate documentation and compliance.
Support Covers:
- Standardized Medical Documentation
- Discharge Summary Review
- Consent Form Verification
- Billing Transparency
- Audit Support
Proper documentation significantly reduces legal and financial risk.
Integration with Accreditation & Compliance
Insurance empanelment is strengthened by:
- NABH Accreditation
- Structured Documentation Systems
- Quality Indicator Monitoring
- Risk Management Framework
- Internal Audit Systems
Hospitals with strong governance frameworks experience higher approval success and smoother claim processes.
