Efficiently manage Third Party Administrators and insurance claims
The TPA Management Module in Mr.Doctor Hospital Management System allows hospitals to efficiently manage interactions with Third Party Administrators. It ensures accurate processing of insurance claims and timely settlements.
This module tracks approvals, claim statuses, and communication with TPAs, minimizing delays and errors, while providing full visibility to hospital administration for smooth operations.
Manage hospital empanelment and contracts with multiple TPAs.
Submit and track patient insurance claims efficiently with TPAs.
View TPA performance, claim settlements, and pending approvals in real-time.
Register patient with TPA details and insurance information
Submit treatment plan to TPA for approval and authorization
Provide treatment and maintain detailed medical documentation
Submit final claim and track settlement from TPA
AI-powered claim validation and automated submission to reduce processing time.
Instant alerts for claim approvals, rejections, and settlement updates from TPAs.
Seamlessly manage multiple TPA relationships and their different processes.
Comprehensive reports on claim success rates, settlement times, and TPA performance.
Ensure adherence to TPA guidelines and regulatory requirements automatically.
Access TPA information and claim status on mobile devices for quick updates.