Third Party Administrator or TPA definition

Third Party Administrator or TPA means any person who is licensed under theIRDA (Third Party Administrator- Health 1Services) Regulations, 2001 by the Authority,and is engaged , for a fee or remuneration by an Insurance Company, for the purpose of providing health Services.
Sample 1Sample 2
Third Party Administrator or TPA means any person who is registered under Insurance Regulatory and Development Authority of India (IRDAI) (Third Party Administrators – Health Services) Regulations, 2016, and is engaged, for a fee or remuneration by an insurance company, for the purposes of providing health services.
Sample 1Sample 2Sample 3
Third Party Administrator or TPA means any person who is registered under the IRDAI (Third Party Administrators – Health Services) Regulations,2016 notified by the Authority, and is engaged, for a fee or remuneration by an insurance company, for the purposes of providing health services as defined in those Regulations
Sample 1Sample 2Sample 3

Examples of Third Party Administrator or TPA in a sentence

  • Third Party Administrator or TPA means any person who is licensed under the IRDAI (Third Party Administrators-Health Services) Regulations, 2001 by the Authority, and is engaged, for a fee or remuneration by an Insurance Company, for the purposes of providing health services.

  • Third Party Administrator or TPA means any person who is licensed under the IRDA (Third Party Administrators- Health Services) Regulations,2001 by the Authority, and is engaged, for a fee or remuneration by an Insurance Company, for the purposes of providing health services.

  • These two levels of internal appeals will continue to be handled by the appropriateClaims’ Administrator, referred to as the Third Party Administrator (or TPA).

  • PurposeThe County of El Paso (County) is seeking a Claims Administrator (Third Party Administrator or TPA) for its self-funded workers compensation program, a 504 Network Program and Cost Containment Services to include pre-authorization services, medical bill review, and all other related service which falls under the Texas Administrative Code Subchapter, utilization reviews for health care provided under Workers’ Compensation insurance coverage, Rules 19.2001 through 19.2017.

  • The professionals of the authorised centre involved in the patient’s care shall be able to access the content of their medical record by means of unambiguous and traceable personal identification.

  • Third Party Administrator Third Party Administrator or TPA means any person who is licensed under the IRDA (Third Party Administrators – Health Services) Regulations, 2001 by the Authority, and is engaged, for a fee or remuneration by an insurance Company, for the purpose of providing health services.

  • The District uses an outside vendor called a Third Party Administrator or TPA to assist in these tasks.

  • Third Party Administrator or TPA means any person who is licensed under the IRDA (Third Party Administrators-Health Services) Regulations,2001 by the Authority, and is engaged, for a fee or remuneration by an Insurance Company, for the purposes of providing health services.(d) Investigation expenses incurred towards diagnosis of ailment requiring Hospitalization.


More Definitions of Third Party Administrator or TPA

Third Party Administrator or TPA means any person with a certificate of authority, issued pursuant to RIGL § 27-20.7-12, who directly or indirectly solicits or effects coverage of, underwrites, collects charges or premiums from, or adjusts or settles claims on members, pursuant to RIGL § 27-20.7-2(1).
Sample 1Sample 2Sample 3
Third Party Administrator or TPA means an organization selected under Section 8.02 of this Plan Document to assist in administration of the Plan.The current TPA of the Plan is Optum Financial, Inc. (“Optum”); more information about the TPA can be found in the SPD.
Sample 1
Third Party Administrator or TPA means any person who is registered under Insurance Regulatory and Development Authority of India (IRDAI) (Third Party Administrators – Health Services) Regulations, 2016, and is engaged, for a fee or remuneration by an insurance company, for the purpose of providing health services. (2) Words or expressions not defined in these Guidelines but defined in the Guidelines on Standardisation in Health Insurance shall have the same meanings respectively assigned to them in the Insurance Regulatory and Development Authority of India (IRDAI) Guidelines.
Sample 1

Related to Third Party Administrator or TPA

  • Third party administrator means an administrator operating under a certificate of authority issued by the commissioner pursuant to the third party administrator act.

  • County Administrator means the Greenville County Administrator, or the person holding any successor office of the County.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Non-Administrator Provider means a Provider that does not meet the definition of Administrator Provider unless otherwise specified in the definition of a particular Provider.

  • Claims Administrator means the firm proposed by Class Counsel and appointed by the Courts to administer the Settlement Amount in accordance with the provisions of this Settlement Agreement and the Distribution Protocol, and any employees of such firm.

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • CFD Administrator means an official of the City, or designee thereof, responsible for determining the Special Tax Requirement and providing for the levy and collection of the Special Taxes.

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Program Administrator means the person retained by the Wisconsin PACE Commission as provided in subsection (5)(b).

  • Covered Party has the meaning assigned to it in Section 9.21.

  • Pharmacy benefit manager means a person, business or other

  • Group Grievance is defined as a single grievance, signed by a Xxxxxxx or a Union Representative on behalf of a group of employee who have the same complaint. Such grievances must be dealt with at successive stages of the Grievance Procedure commencing with Step 1. The grievors shall be listed on the grievance form.

  • Non-Administrator Hospital means a Hospital that does not meet the definition of an Administrator Hospital.

  • Third-party payer means an entity that is, by