annual report 2008-09 - IRDA

ANNUAL REPORT 2008-09
THIRD PARTY ADMINISTRATORS - CLAIMS DATA - 2008-09
Statement 42
Sl. Name of TPA No of Claims Claims Settled
No. Received Within Within Within More than
1 month 1-3 months 3-6 months 6 months
1 Parekh Health TPA Pvt Ltd 35229 19769 11103 847 41
(56.12) (31.52) (2.40) (0.12)
2 Medi Assist India TPA Pvt Ltd 327640 202631 72555 8952 2245
(61.85) (22.14) (2.73) (0.69)
3 MDIndia Healthcare Services (TPA) Pvt Ltd 208331 185144 6942 773 Nil
(88.87) (3.33) (0.37) Nil
4 Paramount Health Services (TPA) Pvt Ltd 185743 167612 364 58 125
(90.24) (0.20) (0.03) (0.07)
5 E-Meditek (TPA) Services Ltd 259635 227036 18578 4543 Nil
(87.44) (7.16) (1.75) Nil
6 Heritage Health TPA Pvt Ltd 65674 27990 26030 6227 1191
(42.62) (39.64) (9.48) (1.81)
7 Medicare TPA Services (I) Pvt Ltd 75250 52004 7755 240 66
(69.11) (10.31) (0.32) (0.09)
8 Family Health Plan (TPA) Limited 94013 75907 17851 Nil Nil
(80.74) (18.99) Nil Nil
9 Raksha TPA Pvt Ltd 250211 242082 8129 Nil Nil
(96.75) (3.25) Nil Nil
10 TTK Healthcare TPA Pvt Ltd 313948 262397 29359 8020 3101
(83.58) (9.35) (2.55) (0.99)
11 Medsave Healthcare TPA Ltd 135851 80068 36950 2833 350
(58.94) (27.20) (2.09) (0.26)
12 Genins India TPA Ltd 81651 63827 12583 4387 2064
(78.17) (15.41) (5.37) (2.53)
13 Alankit Health Care TPA Limited 55308 24282 22247 4744 1446
(43.90) (40.22) (8.58) (2.61)
14 Health India TPA Services Pvt Ltd 190859 129603 39384 5305 Nil
(67.91) (20.64) (2.78) Nil
15 Good Health Plan Ltd 24886 20598 2477 93 Nil
(82.77) (9.95) (0.37) Nil
16 Vipul Medcorp TPA Pvt Ltd 109119 51379 37960 8338 1965
(47.09) (34.69) (7.64) (1.8)
17 Park Mediclaim TPA Pvt Ltd 20671 8671 7042 3939 125
(41.95) (34.07) (19.06) (0.6)
18 Safeway TPA Services Pvt Ltd 8101 3782 2280 1474 215
(46.69) (28.14) (18.20) (2.65)
19 Anmol Medicare (TPA) Ltd 4186 2218 581 249 Nil
(52.99) (13.88) (5.95) Nil
20 Focus Healthcare Pvt Ltd 338 151 Nil Nil Nil
(44.67) Nil Nil Nil
21 Anyuta Medinet Healthcare TPA in Healthcare Pvt Ltd 49 49 Nil Nil Nil
(100.00) Nil Nil Nil
22 Rothshield Healthcare TPA Services Ltd 20 12 3 Nil Nil
(60.00) (15.00) Nil Nil
23 I-Care Health Management & TPA Services Pvt Ltd Nil Nil Nil Nil Nil
24 Grand Healthcare sErvices TPA Pvt. Ltd. Nil Nil Nil Nil Nil
25 Sri Gokulam Health Services TPA (P) Ltd. Nil Nil Nil Nil Nil
TOTAL 2446713 1847163 360173 61022 12934
(75.50) (14.72) (2.49) (0.53)
Note: Figure in brackets indicate the ratio (in percent) of claims settled to the total claims received
I - Care Health Management & TPA Services Pvt Ltd. is a new TPA registered during 2008-09.
Data from East West Assist Pvt. Ltd. and Dedicated Healthcare Services ( India) Private Ltd. Not received.
Licence of Universal Mediaid Services Ltd has been cancelled.
Nil : No claim received or settled
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