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.

FEATURES OF ‘FHPL Mobile Sparrow’:

• 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 dependents’ E-cards are displayed on the App for any hospitalization purpose

• Works as a quick reference guide to the members in need of hospitalization based on the policy

• Gives complete claim status for the submitted claims

• App displays the list of forms so that the employees can select the required form and send it to the desired email address

FHPL has adopted a unique feature for swift settlement of claims to the providers. This is done during the pre-authorization stage of the claim by our doctors. It happens when a claim is authorized under accepted package rates by the hospital, or wherein there is an ailment sublimit or capping applicable as per the policy terms and conditions. Since 30% to 40% of the claims fall under this category, claims auto-adjudication reduces the turn-around time.

FHPL has introduced a new online E-Preauth process through a web based application to be used by hospitals to send Pre-Authorization requests to FHPL. This application facilitates online approvals by FHPL .

Benefits of E-Preauth:

• Better TATs by avoiding fax and e-mail as request directly comes on to the process without manual intervention.

• Cost savings to hospitals by avoiding fax

• Calls to FHPL and hospitals will be minimized as each status of request right from the upload till authorization is available on real time basis and is accessible to hospitals

• System allows to send documents online for pending Pre-authorization, which provides quick reference to FHPL users and information to doctors for processing

• Legible information in the request leading to minimal data dicrepancies between hospitals and FHPL