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You can check the YOUR HEALTH CLAIM STATUS through various methods depending on the type of health insurance or government healthcare scheme YOU HAVE ENROLLED in.

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Claim Status

RECIEVED

TPA has received the claim submission.

 

The claim is in the initial review process.

IN PROCESS

The claim is then processed for payment. This stage involves the TPA verifying bills and preparing for payment.

UNDER REVIEW

Claims evaluated by the TPA are listed as "under review."

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PAID

Once the TPA has issued payment, the claim status is updated to "paid."

PENDING ADDITIONAL INFORMATION

If the TPA requires more information, it may be listed as "pending additional information." 

CLOSED

The claim is marked as "closed" when all processing, payments, and documentation related to the claim are finalized.

APPROVED

Once the TPA confirms that the claim is valid, it is marked as "approved." 

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APPEAL PENDING

If a policyholder or healthcare provider disagrees with a claim denial or payment decision, they may file an appeal. 

DENIED

Claims that do not meet the criteria for coverage under the policy may be marked as "denied." 

REPROCESSED

In some cases, a claim may need to be reprocessed due to errors or discrepancies. 

TPA Claim Status refers to the current state or status of an insurance claim that has been submitted by a policyholder or a healthcare provider to the TPA for processing and reimbursement.

 

The TPA is responsible for evaluating and managing these claims.

 

It is ensured that the Claims are valid.

 

Policyholders receive the benefits they are entitled to under their health insurance policies.

Please Register your claim and mention all the mandatory details as asked in the form:

  • Remember that the process may vary depending on the insurance provider or government scheme.

  • It is essential to follow the specific procedures provided by TPADESK for the claim processing.

  • We ensure you to protect the patient's privacy and ask you the necessary information only when checking the claim status.

Register your Claim
Please mention all Details in the form so that we can have a better understanding of your claim.

You'll get a Call soon!

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