DATA PRIVACY
Family Health Plan Insurance TPA Limited regards lawful and correct treatment of personal data as crucial to the successful delivery of the highest quality of service, which is imperative in building trust and confidence with both external and internal customers.
We are committed to compliance with maintaining data protection and privacy requirements under IT Act 2008 Amendment and associated legislation. FHPL shall implement reasonable security practices and procedures designed to protect such information from unauthorized access, damage, use, modification, disclosure or impairment, as may be specified in an agreement between the parties or as may be specified in any law for the time being in force and in the absence of such agreement or any law, such reasonable security practices and procedures, as may be prescribed by the Central Government in consultation with such professional bodies or associations as it may deem fit.
INFORMATION SECURITYFamily Health Plan Insurance TPA Limited (FHPL) is a certified ISO 27001 organization. FHPL places great emphasis on the need for strict confidentiality in respect to client data. FHPL has adopted an ISO 27001 Information Security Management System (ISMS) as a tool to implement a formal system for protecting the Confidentiality, Integrity and Availability of information. FHPL commits to continually improve its ISMS, to comply with data security as per the adopted framework.
FHPL Mobile App
At FHPL, we pride ourselves in our technological prowess. We were the first TPA to bring Mobile App to this industry thereby setting benchmark.
FHPL Mobile Sparrow was launched in FY 2013-14 and can be downloaded through Apple App Store, Android Play Store and Windows.
Helps in easily locating FHPL Network Hospitals in which cashless hospitalization is processed. The App also displays the list of declined hospitals thereby enabling employees to make informed choices
Employee’s and his/her dependents’ E-cards are displayed on the App for any hospitalization purpose
Works as a quick reference guide to members in need of hospitalization based on their policy
Gives complete claim status for the submitted claims
App displays the list of forms so that employees can select the required form and send it to the desired e-mail address.
CLAIMS AUTO-ADJUDICATION
For swift settlement of claims to the providers. FHPL has adopted auto-adjudication. This is done during the pre-authorization stage of the claim by our doctors. When a claim is authorized under accepted package rates by the hospital, or where in there is an ailment sublimit or capping applicable as per the policy terms and conditions auto-adjudication gets applicable. Since 30% to 40% of the claims fall under this category, claims auto-adjudication reduces the turn-around time.
E-PREAUTHORIZATION FHPL has an online E-Preauthorization process through a web based application to be used by hospitals to send Pre-Authorization requests. This application facilitates online approvals.
Reduces TATs
Electronic data transfer- Less discrepancies as first-hand information
Minimizes follow- ups
ONLINE EMPANELMENT
FHPL has over 7000 hospitals in its network. However, expansion of network hospitals is a regular process based on the Client’s and Insurer’s request.
In accordance with this, FHPL has developed an online empanelment application for the ease of hospitals who are interested in getting empanelled. Interested hospitals can fill in the application form provided online with the required details and submit the same.
After the receipt of the application, FHPL immediately validates the requisite criteria and reverts whether the hospital can be empanelled or not.
Technology oriented transparency and efficiency
No intermediary intrusion
Helps empanel healthcare providers committed to quality service
Please call us or write to us for any clarification.
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Our Toll-free number
1-800-425-4033.
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Email :
[email protected]
Visit our FAQs section for a detailed read on how Claims process works at our end. Get to know the do's & don'ts and the right way to process your claims including documentations, eligibility criteria and much more.
VISIT FAQ'S SECTION
