FHPL Health Insurance TPA: A Complete Guide

Looking for a reliable TPA to simplify your health insurance claims? FHPL Health Insurance is one of India’s most respected third-party administrators, which helps policyholders manage claims smoothly and connect with hospitals nationwide. At Ditto, we simplify such decisions and help people make the right choice.

Unsure about choosing the correct insurer? Book a free call with us and let our experts guide you in making an informed decision.

FHPL Health Insurance TPA: Overview

Founded in 1995, FHPL is a leading health insurance administrator headquartered in Hyderabad. The TPA is operated across 54+ offices in 25 states in India. With over 14000 healthcare providers, FHPL is supported by 150+ medical experts and a 24/7 multilingual call center serving millions nationwide.

Note: If your health card shows FHPL TPA, it means they handle your claims. Your actual health plan is still issued and managed by your insurer.

What is the Cashless Claims Settlement Process at FHPL Health Insurance TPA?

1. Select a hospital from FHPL’s network list. You can look for your nearest hospital here.
2. Show your ID card or policy number at the hospital desk, along with your photo ID.
3. Request a pre-authorization form and fill it carefully. The hospital will then send it to FHPL.
4. FHPL reviews your form and sends an approval or query. Once verified, your insurer settles the claim with the hospital.

Note: FHPL’s Instant Cashless feature enables faster hospital admission by providing quick pre-authorization approvals at network hospitals. This reduces waiting time and helps members access seamless and immediate medical procedures.

What is the Reimbursement Claims Settlement Process at FHPL Health Insurance TPA?

1. Inform FHPL about the hospitalisation, preferably before getting admitted or at the most within 24 hours of being hospitalized. To inform FHPL you can either call at their toll free number or email at intimation@fhpl.net. 
2. Collect all the invoices/receipts generated by your hospital and pay the final bill from your own pocket.
3. Post-discharge, file the claim settlement form and submit it to your insurer, preferably within a week.
4. Once the insurer reaches out to you, within 15 working days, submit the required documents.

Click here to file a claim with FHPL.

What are the Documents Required to Be Submitted to FHPL for a Reimbursement Claim Settlement?

• Filled in reimbursement claim form
• Photo copy of FHPL ID card, employee ID, aadhar card
• PAN card & CKYC documents, if required
• Related prescriptions
• Final bill with breakup
• Original cash paid receipt
• Discharge summary
• Investigation reports

How Do I Track the Claim Status with FHPL Health Insurance TPA?

1. Visit the online portal for tracking your policy claim.
2. Enter your claim ID and then enter either the patient date of birth or date of admission. 

3. Post verification, proceed with the on-screen steps and check your claim status.

Alternatively, you can call their customer care number or visit a nearby FHPL Health Insurance branch for offline assistance.

Take Note: For seamless and quick solutions, contact them through their WhatsApp chatbot. Alternatively, you can contact them by selecting the city where you are residing. 

Ditto’s Take on TPAs

At Ditto, we generally do not work with TPAs. If you still want to choose one, pick a TPA with a strong hospital network and a good record of handling genuine claims without trouble. 

That said, insurers with their own in-house claims team are usually a better option. They handle the entire process directly, which makes approvals faster and more reliable. You avoid multiple touchpoints and get smoother coordination with hospitals. In case you bought a policy through Ditto, contact us here.

Why Talk to Ditto for Your Health Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Rajan below love us:

• No-Spam & No Salesmen
• Rated 4.9/5 on Google Reviews by 15,000+ happy customers
• Backed by Zerodha
• 100% Free Consultation

You can book a FREE consultation. Slots are running out, so make sure you book a call now!

Final Thoughts

Although TPAs play a crucial role in the functioning of health insurance in India, longer claims chains can create communication gaps. You may not get to interact directly with your insurer, and small administrative errors by the TPA can cause delays or mistakes in claim settlement.

Note: FHPL health insurance is not affiliated with Ditto. Therefore, all the data for the article has been taken from publicly available sources and the TPA’s website.