The Hindu Business Line : IRDA panel to evaluate TPAs

Hyderabad, Dec. 31 The Insurance Regulatory and Development Authority (IRDA) has constituted a 12-member committee for evaluation of the performance of the Third Party Administrators-Health Services (TPAs).

In a circular issued on Wednesday, IRDA has said the committee “will examine the role of TPAs in the current health insurance market scenario and to make suitable recommendations clarifying their utility to the future growth of the health insurance industry”.

The committee has also been asked to suggest standards of best practices for TPAs and to devise customer service benchmarks for TPAs with optimum and maximum time lines for different processes. “To suggest minimum skill sets for the TPA personnel, including training in ICD-10 coding, claim and pre-authorisation processing, medical and insurance knowledge,” the circular signed by Mr J. Hari Narayan, Chairman, IRDA, said.

The committee, headed by Mr S.B. Mathur, Secretary General, Life Insurance Council, has been asked to submit its report by April 30.

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