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.
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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
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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.
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Examples of Third Party Administrator or TPA in a sentence

  • 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.

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


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).
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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.
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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.
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Third Party Administrator or TPA means a private party or organization, other than the employer, which administers workers’ compensation claims.
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Related to Third Party Administrator or TPA

  • Third Party Administrator (TPA means any organization or institution that is licensed by the IRDA as a TPA and is engaged by the Company for a fee or remuneration for providing Policy and claims facilitation services to the Insured / Insured Person as well as to the Company for an insurable event.

  • Third party administrator or "administrator" means the same as that term is defined in Section 31A-1-301.

  • Property Administrator means an authorized representative of the Contracting Officer appointed in accordance with agency procedures, responsible for administering the contract requirements and obligations relating to Government property in the possession of a Contractor.

  • City Administrator means the City Administrator of the City.

  • Facility administrator means chief probation officer, sheriff, marshal, chief of police or other official charged by law with administration of the facility.

  • 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.

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • Zoning Administrator means the administrator of these rules who is appointed by the natural resources commission.

  • 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.

  • insolvency administrator means a person authorised to administer the reorganisation or liquidation, including one authorised on an interim basis, and includes a debtor in possession if permitted by the applicable insolvency law;

  • 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.

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Servicer Employee As defined in Section 3.18.

  • Beginning administrator means a building level or district level leader who has not completed three (3) years of experience as a building level or district level administrator.

  • Participating Retail Health Clinic means a Retail Health Clinic which 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.

  • 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.