End-to-End TPA Desk Management
Maxfac – iHANS provides fully managed TPA desk services within hospitals, ensuring seamless coordination between patients, insurance companies, and hospital billing departments.
Our TPA Desk Services Include:
- Cashless authorization processing
- Pre-authorization documentation & follow-ups
- Insurance eligibility verification
- Coordination with multiple TPAs & insurers
- Billing reconciliation & claim submission
- Query resolution and claim tracking
- Final settlement and discharge coordination
Patient Helpdesk
We establish patient-friendly insurance helpdesks to educate patients on coverage, guide documentation, and reduce front-office pressure.
TPA Marketing & Networking
We support hospitals in empanelment with major TPAs, corporate insurers, and government schemes to maximize patient inflow while maintaining profitability.
Services Include:
- TPA onboarding and documentation
- Rate negotiation support
- Contract review and optimization
- Corporate insurance tie-ups
- PSU and government panel inclusion
- Relationship Management for faster approvals
Operations & Revenue Optimization
We analyze and optimize TPA-related workflows to improve hospital revenue cycles, focused on reducing Turnaround Time (TAT) and claim rejections.
Key Focus Areas
- Claim acceptance ratio improvement
- Denial management and root cause analysis
- SOP standardization across departments
- Staff training for insurance compliance
Analytics & Reporting
- Monthly TPA performance reports
- Claim rejection trend analysis
- Revenue forecasting models