“This is a proposal that has been designed to meet the needs of the public general insurance players,” Srinivasan said. Last week, A K Saxena, chairman and managing director of Oriental Insurance, had said that the government insurers would slowly move into having their in-house TPAs. The common TPA has been proposed to minimise fraud claims in the health insurance segment.
It is also expected to speed up the claim-settlement process and reduce the claims ratio of insurance companies, which pay a commission of six per cent of premiums to TPAs to settle claims. Srinivasan said the preferred provider network would add more cities to cover hospitals that have agreed to public sector general insurance companies’ package rates. Under this network, cashless medical facilities are provided to such insurance holders.