Vidal Health Insurance TPA

Whether transitioning an existing customer account, or on-boarding a new account, insurers find Vidal Health technology platforms supported by its people and processes, the perfect way to enroll members whether by the hundreds or by the millions. On large government contracts, Vidal Health has frequently helped its insurer clients on-board more than a million members, often involving remote locations, in the shortest possible timeframes. Large employers transitioning to new insurance relationships also find this capability of Vidal Health of great value Click here to visit

Insurers in developed countries as well as in developing countries are increasingly looking towards India to provide access to world class medical treatment at affordable costs to their members. India has world class medical infrastructure to support its top physicians, many of who have trained and worked in the world’s best medical institutions. Vidal Health follows a very structured methodology to empanel hospitals onto its network and can make available its network to Global insurers wanting to take advantage of the twin benefits that India offers-world class medical treatment at affordable prices. In addition to providing network access, Vidal Health can also provide a host of facilitation services to members who will actually make the trip to India for their medical treatment

Based on its expertise in data capture as well as extraction of insights from large volumes of transaction data, Vidal Health has made solid investments in analytics talent and developed the expertise to assist insurers to design and implement their own reporting and analytics projects, either on a consulting approach or a completely out-sourced approach.

For its insurer clients, Vidal Health can empanel and contract with hospitals as required by the insurer (and/or its employer/government clients) based on precise specifications relating to access. Vidal Health already has existing direct relationship with over 7000 hospitals across India, which can be made available right away and, if a preferred network is required, can accomplish that set up very quickly. Click here to visit

Given the massive scale of its operations-35 million members, 1 million hospitalization claims every year, 800 thousand pre-authorization requests for these hospitalizations from an empanelled network of over 7000 hospitals, Vidal Health invests heavily in technology to deliver a superior experience to all its stakeholders. Over the years, these investments have resulted in the evolution of a world-class proprietary technology platform that can be licensed for use by insurers, healthcare administrators (including third party administrators), hospitals and health systems, and pharma companies for deployment across their businesses.

As insurers (and their employer/government clients) start to include coverage for outpatient services, there is a need to provide their members with access to preferred physicians networks based on a structured/rigorous credentialing mechanism. Vidal Health is empanelling a large number of physicians across specialties and empowering them with tools to make them ready for third party payments. Insurer’s members can be provided access to such physician networks

Other than insurance companies, Vidal Health is among a handful of health services management companies that have invested in building expertise in Actuarial and underwriting skills. The Vidal Health actuarial team is already assisting insurance companies globally on matters like pricing, new product designs, as well as consulting on analytics and process improvement

Members of insurance companies often need help to identify the right doctor(s) to diagnose and treat their medical condition. Being able to access the right doctor at the right time can often result in significant savings by avoiding unnecessary visits to multiple doctors and any subsequent repeated spending on diagnostics. Vidal Health has invested in processes and technology platforms that enable convenient access to a credentialed network of empanelled doctors to members and their families

In addition to investing heavily in technology to deliver a superior stakeholder experience, Vidal Health believes that healthcare often requires high-touch. Which is why it has a full service call centre, staffed with over 100 executives, drawn from various backgrounds, including clinical. In addition to receiving in-bound calls from members on a variety of concerns like eligibility, claims status, customer satisfaction, and then some, the call centre also provides disease specific support, toll-free support for specific clients and processes, as well as out-bound calling if required by clients. Click here to visit

In addition to the convenience of not having to carry cash while in the hospital to settle the hospital bill, the bigger advantage of credit billing/cashless hospitalization is that it allows Vidal Health to review the final hospital bill for correctness. Considering that hospitalization is a rare occurrence in the lives of most individuals, making sense of a hospital bill is not something they may be equipped to deal with. Review of the bill by Vidal Health, given its experience in processing over 1 million hospital bills every year, provides an assurance to members that they are paying the right amount for their treatments Click here to visit

When Vidal Health first offered the e-claims platform to its network hospitals, it set up help desks in hospitals with high volumes of insured members to support them take advantage of the technology platforms. From time to time, Vidal Health continues to provide this support by setting up hospital help desks at the behest of an insurer or employer or government client to make it easier for members to avail themselves of the benefits under their policies. These help desks are staffed with resources who use technology extensively and are connected via telephone and internet to the Vidal Health back-end to offer a speedy response to members visiting the hospitals.

Vidal Health was the first third party administrator to provide its empanelled hospitals with access to an e-claims platform that allowed pre-authorization requests and final claims to be submitted online. This allowed turnaround times for pre-authorizations approvals to drop drastically benefiting members tremendously. It has continued building on similar innovations to make it easier for members whether they seek cashless hospitalization or re-imbursement of a hospital bill they may have already paid. In geographies outside India, Vidal Health processes on the fly cashless requests for outpatient services like doctor consultation, prescription filling at a pharmacy or diagnostics, which makes it so much more convenient for members, helping them avoid having to fill out forms for reimbursement of medical spending. Click here to visit