Ensuring Hospital Empanelment for Cashless, Seamless, and Patient-Centric Healthcare Access.
In today’s healthcare ecosystem, TPA (Third Party Administrator) and Health Insurance Empanelment play a vital role in ensuring cashless treatment, transparent billing, and timely reimbursements for patients.
Hospital Empanelment with leading insurance companies and TPAs enhances a hospital’s credibility, expands patient reach, and supports compliance with NABH, NABL & JCI standards.
A Third Party Administrator (TPA) is an authorized organization that manages health insurance claims and provides support for cashless hospitalization on behalf of insurance companies.
It allows hospitals to provide cashless treatment to insured patients while maintaining transparency, quality, and documentation standards required by Accreditation bodies.
Under NABH, NABL & JCI guidelines, organizations must ensure:
Authenticity in billing and claim settlement.
Availability of patient rights regarding insurance coverage.
Ethical processes for admissions to discharges under insurance.
Mechanisms for redressal related to insurance services.
Enables insured patients to receive timely care without financial burden.
Streamlined admission, approval, and discharge processes build trust.
Expands the hospital’s patient base through multiple insurance networks.
Simplified documentation and prompt reimbursements through defined workflows.
Promotes ethical billing and transparent communication.
Association with reputed TPAs builds confidence among corporate clients.
We support empanelment with a wide network including:
| Insurance Companies | Third Party Administrators (TPAs) |
|---|---|
| Star Health Insurance | Medi Assist India TPA Pvt. Ltd. |
| ICICI Lombard | Paramount Health Services TPA |
| HDFC ERGO | Vidal Health TPA |
| Bajaj Allianz | Raksha TPA |
| Aditya Birla Health | Family Health Plan (FHPL) |
| Reliance General | Health India TPA |
| Care Health Insurance | MDIndia Healthcare Services |
| SBI Health Insurance | MedSave Healthcare TPA |
| TATA AIG | Good Health TPA |
...and many more as per hospital location and eligibility.
At DianaMik Hospital Management Consultancy LLP, we provide end-to-end consultancy to expand your reach.
Hospital Gap Assessment & Document Review
Empanelment Application Submission process
Audit & Approval Coordination
TPA required Software Integration (if applicable)
Staff Training on patient Claim & Cashless Procedures
Post-Empanelment Compliance Support
| NABH Chapter | Clause | Objective |
|---|---|---|
| Access, Assessment (AAC) | AAC.4 | Transparent communication regarding tariffs and coverage |
| Information Management (IMS) | IMS.5 | Secure handling of insurance data and patient records |
| Continuous Quality (CQI) | CQI.3 | Tracking turnaround time of claims and pre-authorizations |
| Patient Rights (PRE) | PRE.2 | Ensuring patients are aware of insurance coverage and exclusions |
Hospitals Empaneled
In NABH & TPA Documentation
Training for Billing Teams
We bridge the gap between hospital and insurance companies — making quality care accessible for every insured patient.
Ready to expand your network?
Get Empanelled Today