Empanelment's TPAs
Hospital Empanelment with TPA | GIPSA Empanelment
Hospital Empanelment with TPA and GIPSA Empanelment is the process through which hospitals are authorized to provide cashless treatment to insured patients by partnering with Third-Party Administrators (TPAs) and public sector insurers under the General Insurance Public Sector Association (GIPSA). This empanelment allows hospitals to be part of insurance networks, offering standardized treatment packages, faster claim settlements, and increased patient footfall. It ensures better access to healthcare for policyholders while enhancing the hospital’s credibility, visibility, and operational efficiency.
CURRENT EMPANELMENT LIST OF OUR HOSPITAL
| S.NO | NAME Of TPA |
|---|---|
| PRIVATE INSURANCE | |
| 1 | GIPSA / PPN INSURANCE |
| 2 | NATIONAL INSURANCE CO. |
| 3 | THE NEW INDIA INSURANCE |
| 4 | ORIENTAL INSURANCE CO. |
| 5 | UNITED INDIA INSURANCE CO. |
| 6 | VIPUL TPA |
| 7 | VIDAL HEALTH TPA |
| 8 | PARAMOUNT TPA |
| 9 | GOOD HEALTH TPA |
| 10 | RAKSHA TPA |
| 11 | PARK MEDICLAM |
| 12 | MEDIASSIST TPA |
| 13 | EAST WEST TPA |
| 14 | FHPL TPA |
| 15 | ERIXON TPA |
| 16 | MD INDIA TPA |
| 17 | UNITED HEALTH PAREKH TPA |
| 18 | HEALTH INDIA INSURANCE TPA |
| 19 | SAFEWAY TPA |
| 20 | HERITAGE TPA |
| 21 | GENSIS TPA |
| 22 | ALANKIT TPA |
| 23 | MEDICARE TPA |
| 24 | FOCUS TPA |
| 25 | MEDSAVE TPA |
| 26 | VOLO HEALTH INSURANCE TPA |
| 27 | NAVI GENERAL INSURANCE |
| 29 | STAR Health and Allied Insurance Co. Ltd |
What is Hospital Empanelment with TPA?
Hospital Empanelment with TPA refers to the process where hospitals get formally associated with Third-Party Administrators (TPAs) to offer cashless treatment to insured patients. It allows policyholders to avail of medical services at the hospital without making upfront payments, as the TPA settles bills directly with the hospital.
Key Benefits for Hospitals:
Increased patient footfall
Quicker claim settlements
Association with major insurance companies
Enhanced reputation and trust
Key Requirements:
Valid hospital license and registration
Necessary infrastructure (beds, ICU, labs, etc.)
Qualified medical professionals
NABH/NABL accreditation (preferred)
Standardized billing and IT systems
What is GIPSA Empanelment?
GIPSA stands for General Insurance Public Sector Association, an association of 4 leading public sector insurance companies in India:
United India Insurance
National Insurance
Oriental Insurance
New India Assurance
These companies, along with select TPAs, have formed Preferred Provider Networks (PPN) for hospital empanelment.
GIPSA Empanelment Highlights:
Stringent selection criteria
Standardized treatment packages and rates
Only quality hospitals with defined infrastructure and service standards are empaneled
Empaneled hospitals must agree to fixed rates for specific procedures (called PPN package rates)
Why GIPSA Empanelment is Important:
Access to a large base of insured patients from PSU insurance policies
Enhanced brand credibility due to association with government insurers
Opportunity to offer cashless services for CGHS/ESIC/PSU policyholders
Part of a Preferred Provider Network (PPN) for better visibility
Empanelment Process Overview:
Application Submission: Hospital submits an application to the TPA or GIPSA panel.
Documentation: Includes licenses, infrastructure details, doctors’ qualifications, and service capabilities.
Inspection & Audit: Site visits and evaluation by the TPA or GIPSA panel.
Agreement Signing: If approved, a contract is signed, detailing terms and package rates.
Listing: Hospital is listed in the insurer/TPA’s network for cashless services.
Common Documents Required:
Hospital registration certificate
Fire and biomedical waste certificates
NABH/NABL certificate (if available)
List of doctors and qualifications
Infrastructure & services report
Bank details & PAN
Past clinical records or quality metrics