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Med Save Healthcare (TPA) Ltd.

C O M P A N Y P R O F I L E. Med Save Healthcare (TPA) Ltd. Med Save Group. Presence In 3 Continents. Services more than 500 insurance and assistance companies. Operates a Medical Network of more than 4.5 lacs providers. Corporate Offices in London, New York, Tel Aviv and New Delhi.

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Med Save Healthcare (TPA) Ltd.

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  1. C O M P A N Y P R O F I L E MedSaveHealthcare (TPA) Ltd.

  2. MedSave Group Presence In 3 Continents Services more than 500 insurance and assistance companies Operates a Medical Network of more than 4.5 lacs providers Corporate Offices in London, New York, Tel Aviv and New Delhi. • Insurance • Medical Services • Third Party Administration Major Business Activities :

  3. Medsave Heathcare [TPA] Ltd., India is part of Medsave Group with its Head Office at Delhi and having 34 branches all over the country. Medsave is an IRDA licensed company for providing TPA services to the insurance companies of India for their health policies. Medsave is one of the largest TPA in the country. Following are the major activities of Medsave. Collects policies from BODO of the Insurance companies. Maintains the database of policyholders and issues the Photo Identity cards with unique number and guide book. Does hospital empanelment to provide cashless facility. Handles the Cashless and Re-imbursement claims. Issues the payment to insured/hospitals against the claims Cost containment and Fraud elimination.

  4. LICENCE COPY

  5. Quality Policy MEDSAVEHEALTHCARE [TPA] LTD.is committed to enhancing customer satisfaction level and improving effectiveness of Quality Management System by continual improvement, meeting customer requirements and periodic review of objectives and targets. We shall constantly strive to improve and enhance the status and intellectual levels of all concerned including team members through collective learning and sharing. ISO 9001:2000 CERTIFIED COMPANY

  6. Company Overview Medsave Heathcare [TPA] Ltd. India is an ISO 9001:2000Certified Company. Total staff of 314 in India Operates a 24X7 Assistance Centre Tailor made software Operates one of the largest Hospital Network of more than 3000 Hospitals. Empanelled by Nationalized Insurance Companies including LIC Of India as TPA covering all over India. All India helpline – (011)39001234, Toll Free No:-1800111142

  7. ALL INDIA INFRASTRUCTURE SPEEDY CLAIM SETTLEMENT COST CONTAINMENT Medsave Healthcare [TPA] Ltd. WEB BASED INTEGERATED SOFTWARE ALL INDIA HOSPITAL NETWORK PROACTIVE INFORMATON FLOW SYSTEM

  8. INSURERS CURRENTLY SERVICED BY MEDSAVE INDIA LIFE INSURANCE CORPORATION OF INDIA UNITED INDIA INSURANCE COMPANY LTD NATIONAL INSURANCE COMPANY LTD ORIENTAL INSURANCE COMPANY LTD

  9. Major Projects TPA services for RSBY Scheme in Kerla & Bihar Third Party Administration for Nationalized Govt. Insurance Companies. TPA services for The Sanjivni Trust – Promoted by Govt of Punjab. TPA services for Tsunami Victims – Promoted by PMO relief Fund. TPA service for Employees of various Banks like Syndicate Bank, Indian Overseas Bank, Indian Bank. SBH,Bank of Maharastra etc. Bhai Ghanhya Scheme of Punjab Govt. Major Corporates - American Embassy, Whirlpool of India, Goodyear India Ltd. Footwear Design & Development Institute, Institute of Management Studies, ITC Ltd., Tecumseh India Pvt. Ltd., Centre for Development of Advanced Computing (C-DAC) and MAX Healthcare Group.SGPC [Punjab], Abhisekh Industry [ Punjab]

  10. Rashtriya Swasthya Bima Yojana • Benefits: • To provide improved access to quality medical care for BPL families • Through an identified network of health care providers. • A common Health insurance card across India • Pre-existing Diseases to be covered • Total sum insured per BPL family is Rs.30,000 ,for Registration fee is Rs. 30 • Transport allowance limit of Rs. 100/visit an annual ceiling of Rs. 1000 • Pre-existing conditions/disease to be covered, subject to minimal • exclusions. • Target population is 6 crores families in five years • – with budget allocation of Rs. 3500 crores

  11. Rashtriya Swasthya Bima Yojana Medsave has been awarded following districts to provide smart cards (10,00,000) to BPL families and to manage hospital network and claims. KERLA CHATTISGARH GUJRAT KASARAGOD BILASPUR BILASPUR KOZHIKODE DURG DURG WAYANAD SURJUJA SURJUJA KANNUR BIHAR BIHAR CHANDIGARH GAYA HOSHIARPUR CHANDIGARH DARBHANGA

  12. RSBY SMART CARD

  13. MedSave's Unique TPA Services 1 All India MedSavebranches setup for the customer's convenience. 2 Medical team of 41 doctors for assistance. 3 Insured can access their claim status on our website. 4 Corporates and BO/DOs of Insurance companies have been given access the website through login passwords. 5 Provision for second opinion from abroad 6 Priority to MedSavecard holder at the time of hospitalization. 7 Cost Containment - Discounted rates, Bill Scrutiny, Case Management, Second Medical Opinion, Medical Procedure Audit, Elimination of Frauds. 8 Disease coding and Classification – MedSavehas codified over 2000 diseases in its Software module based on latest ICD – 10 Codification. 9 Disease-wise, Age-wise, Geographical-wise claims analysis. 10 Free ambulance facility available at various hospitals. Help-Desk is provided to major corporate (s) 11

  14. EMPLOYEES PROFILE • Doctors (including 6 P.G’s) 41 • Software Engineers 5 • M.B.A 13 • Insurance sector people 9 • Legal Experts 3 • Post Graduates 32 • Graduates 180 • Undergraduates 31 • Total Staff 314

  15. Branch Network Head Office Chandigarh Jalandhar Ludhiana Amritsar Firozpur Shimla Jaipur Lucknow Himachal Pradesh Punjab Delhi Bhopal, Indore Bareilly Dehradun Haldwani Uttar Pradesh Rajasthan Assam Bihar Mumbai, Pune Bhopal Gujarat West Bengal Ahmedabad, Vadodra Valsad, Vansda, Somgarh, Mandavi Uttaranchal Patna Kolkata Maharashtra Andhra Pradesh Guwahati Madhya Pradesh Karnataka Hyderabad, Nellore Bangalore Tamilnadu Kochi Nagapattinam Kerala Madurai Kochi Chennai, Nagapattinam Coimbatore, Madurai Kanyakumari

  16. BRANCH NETWORK

  17. Technology Entire process is managed on MIMS software (on SQL server as back-end and Visual Basic as Front end) Separate IBM servers for database with data redundancy, website, and financial activities. An additional stand-by server is ready in case of any failure Back-ups of database taken on daily basis on High Speed HP Backup Device, and kept in secure location outside the office. All branches are linked to the main database using our website All BO / DOs of Insurance companies have been given access to the website through unique login ids and passwords Highly robust Mercury Mail server for mailing solution ACD solution from Coral

  18. - Continued - High speed 24 hours internet connectivity All messages entering or leaving the intranet pass through the firewall, which examines each message and blocks those that do not meet the specified security criteria. Virus protection by Symantec Antivirus Corporate Edition Exclusive ISA Certified “ICD10 code” integration Reporting/Statistics like Yearly, Monthly, Agent wise, Hospital wise, ICD10 code wise, Age group wise ,Region wise , BODO Wise etc. Complete Scan of Claim Files which can be accessed by insurance co. Complete documented with Test cases and Use cases etc.

  19. Fax To Hospital Patient/Insured Hospital Auto-Email Scrutinization of Pre-authorization Insurance Company Sends a cashless request Approval of Cashless Auditing of Pre-Auth Audit Dept. MedSave Doctors Cashless Dept.

  20. Benefit of Medsave As TPA Claimant can see the complete process at our website. Card Details of claim process with cheque No. and date. Insurance Company can excess the details of each and every day and can see the complete claim file because Medsave scans 100& claim files. Medsave software is capable to give MIS of each and every policy in any combination.

  21. Network Connectivity BRANCH USER ENROLLMENT DATABASE SERVER SIFY BROADBAND CALL CENTRE WEB SERVER TALLY SERVER CLAIM/CASHLESS INSURED/BODO INTERNET INTRANET

  22. Automated Call Center Capabilities • 24X7 call center. • Automated Call Distribution Software. • 21 telephone lines, Toll free number with 10 hunting lines can be reached from anywhere in India. • 15 work stations, with KTS systems. • Call centre is supported by in-house developed software.

  23. Operational Flow

  24. Sample Cards

  25. Our Vision To act as a catalyst in growth of healthcare industry in India by acting as one stop shop for providing complete range of boundary less and hassle free services to Insurance Companies, Insured and the Care providers.

  26. Our Mission A vibrant company committed to provide prompt, convenient and best possible quality healthcare services to the insured at the least possible cost, which should result into increased profitable business for the insurers and care providers.

  27. To Summarize MedSave has created a World-Class infrastructure, backed by a pool of talented and experienced employees, to provide boundary less, convenient and prompt services to insured, insurers and care providers. Toll Free No:-1800111142 info@medsave.in www.medsave.in

  28. MEDSAVE HEALTHCARE [TPA] LTD

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