For all our Third Party Administration (TPA) Program, we are the Scheme Administrator/Advisor to our Clients/Enrollees for running the agreed benefit Plan. We issue our regular medical identity card to the Enrollees to enable them access care at the preferred Hospital based on the scheme location covered in the Program.
The Hospital(s) treat our Enrollees and send claims to us based on our working Tariffs and we add our Administration Fee of 15% to the Claim and send to Client. As funding for the scheme depicts, the Client reimburse based on either an agreed percentage balance or periodic manner to enhance successful scheme funding.
Benefits of Third Party Administration to our Clients.
- Our Clients will save between 25% to 30% from medical bills even with 15% admin Fee charged if bills were sent as private patient.
- Periodic Statement of Accounts update is sent to our Clients for records.
- Client(s) can control utilization from his end based on periodic accounts update.
- Unspent balance at the end of the Accounting Period can be withdraw by Client as cash flow option.
- It is the discretion of the Client to determine exclusions on the scheme
- Third Party Administration seems very convenient to all the parties as the process is transparent.