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Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not appropriate.
Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a leading Third Party Administrator (TPA) in India, specializing in health insurance and related services. Established in 1996, the company obtained its license from the Insurance Regulatory and Development Authority of India (IRDAI License No. 006) in 2002, enabling it to provide comprehensive TPA services to insurers and policyholders. PHS offers a wide range of services, including health insurance claims management, cashless hospitalization, pre-policy and pre-employment medical check-ups, wellness programs, and access to medical second opinions. The company also provides 24/7 customer support through its inbound call centers, ensuring prompt assistance for policyholders. With a network spanning over 130 locations across India, PHS collaborates with numerous hospitals to facilitate seamless healthcare experiences. In addition to serving private clients, PHS partners with state governments to implement large-scale healthcare schemes, such as the Biju Krushak Kalyan Yojana (BKKY) in Odisha, Swasthya Sathi in West Bengal, and the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) in Maharashtra. Promoted and managed by medical professionals, along with experts in IT, insurance, and customer relations, PHS is committed to excellence in claims management, fraud prevention, and customer service.
Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a leading Third Party Administrator (TPA) in India, specializing in health insurance and related services. Established in 1996, the company obtained its license from the Insurance Regulatory and Development Authority of India (IRDAI License No. 006) in 2002, enabling it to provide comprehensive TPA services to insurers and policyholders.