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.
Family 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.
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.
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.
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.
Electronic data transfer- Less discrepancies as first-hand information
Minimizes follow- ups
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.
Our Toll-free number
· 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
This is to appraise that I have received a fantastic service from your team member today, who was extremely patient, knowledgeable, courteous, professional & helpful in providing all the necessary information I had called for, she also went extra mile to provide additional information relevant to my query.
Myself an employee of HDFC Bank would like to share with you that I had submitted some medical bills for reimbursement few days back. However due to some reasons the bill could be processed
But yesterday fortunately I got to talk to the escalation team explained the whole situation And today exactly at 12.30 pm I got the good news that my bills are processed and the amount is being approved., it was really unbelievable. This is called customer service.
HDFC Bank Ltd
I would like to place on record my appreciation for the prompt and wonderful services provided by FHPL at the time of hospitalization of my son
The care and promptness shown by you and your team was a big support in my time of need. Carry on the Good Work!!!
Idea Cellular LTD
This mail is to appreciate FHPL Services, I have sent a claim reimbursement on 11th November 2016 of my son for an amount of Rs.1,25,147.00, called up your helpline my case was taken up and rigorously followed up and finally I got my claim amount
I am blessed with a baby boy on 15th October 2017. I wanted to share feedback regarding Maternity benefit provided by the Organization.. I want to thank you for the support provided regarding the information and process to avail the benefit. The information provided on Intranet is updated and provides complete details regarding the process. Mine was a cashless hospitalisation and I faced no issues. The support provided from the Hospital and FHPL team is commendable and again I want to thank you and appreciate for the seamless and amazing experience we had at the hospital
FHPL team : Good work for swift and prompt co-ordination , for providing cashless facility for our onsite employee’s father s cataract operation in offshore .
This is just a small note to say a Big Thank You for all the support and assistance you and your team provided during the time my wife was hospitalised
Right from the time of her admission formalities to the discharge procedures, everything was so smoothly and efficiently managed and handled by you/team - I sincerely appreciate your personal attention to every small detail. This is the time when one is so pressurised with a loved one being hospitalised and to have someone take care of all the hospitalisation logistics makes a big difference and takes a big burden off the chest.Thank you once again for being there and making a big difference. God Bless
Intelnet Global Services Pvt Ltd