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Emeditek

Gurgaon, Haryana

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E-Meditek TPA Services as India’s leading Third Party Administrator (TPA), we have been blending the art of health benefit administration with technology, innovations and best practices in our constant endeavour to deliver the very best to over 7 million registered members. Our strong relationship with 24 insurers, 10000+ health providers and host of other partners and international alliances make it possible for us to attain excellence in every activity that we undertake as a TPA. In addition, our extensive interface with Mass schemes, Pre-insurance Health Screening and International Travel insurance management signify our commitment to provide end to end solutions to our valued Principals and customers.

Our core competence lies in reducing claims cost while ensuring quality care for our valued customers, checking fraud & abuse, promoting preventive care & wellness programs, advanced analytics and predictive modeling. Our robust technology platform helps support wide spectrum of services to growing volumes of customers with ever growing demands and wide range of health insurance products. We were the first TPA to introduce E Card, SMS Alerts, Auto mailers in the TPA industry and are constantly upgrading our service delivery for ease and convenience of all stake holders, including system integration with insurers and providers. Our skilled and trained manpower is our biggest asset and our internal processes like concurrent audit, fraud alerts, Gatekeeper negotiations/case management, verification & investigation of suspect cases, tariff arrangements and discounts with hospitals etc. are unmatched in the industry, resulting in one of the lowest claims cost.
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Nature of Business

Service Provider

TPA Services Health
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TPA Services Health

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  • Cash less and hassle free hospitalization benefits at network hospitals/ nursing homes
  • Member enrollment, benefit confirmation, on line profile management
  • Empanelment of service providers, negotiation of tariffs and discounts
  • 24*7*365 Helpline and Customer Support
  • Claims adjudication and payment
  • Analytics/Under Writing Support

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Travel Insurance Services
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EMSL has tied up with HAA for servicing overseas travel claims of Indian travelers. Our Services include support for:
  • Emergency Medical Treatment
  • Repatriation of mortal remains
  • Accidental Death
  • Loss of Baggage
  • Baggage Delay
  • Loss of Passport
  • Sickness Dental Relief
  • Others as per customized requirement

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Pre Policy Health Checkup Services
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  • Empanelment of Diagnostic centers after due diligence
  • Finalisation of rates, tariffs and document templates for different insurance companies
  • Member health-check up – fixing appointment and communication, picking up reports
  • Digitizing reports and uploading for on line access
  • MIS and Analytics

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Mass Rural Insurance Schemes Services
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  • Implementation of RSBY – beneficiary mobilisation and field enrollment, empanelment of rural providers, providing IT support – machines and manpower, processing of claims and payment, liaison with nodal agencies/Ministry, uploading of data on World Bank server etc.
  • Implementation of UHIS and similar schemes in different states.

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Search Network Hospitals
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Click below for a quick search of our in-patient provider network for cashless facility.

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Search Diagnostic Center
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Search Diagnostic Center

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Click below for a quick search of our network of diagnostic centers with discounted tariffs and package rates for our valued members.

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Search Wellness Center
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Search Wellness Center

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Click below for a quick search of our network of wellness centers with discounted tariffs for our valued members.

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Health Care Service

Health Care Service

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