HERITAGE HEALT INSURANCE TPA PVT. LTD.

IRDAI LICENSE NO. : 008 O CIN : U85195WB1998PTC088562

NICCO HOUSE,sth FLOOR,2 HARE STREET, KOLKATA. TOO OO1
HERITAGE HEALTH
PHONE : (033) 2248 6430 12784 o Fax : (033) 2231 0287 I 22'10 0837 Email : heritage_health@bajoria.in

Public Disclosur6 on quantativ€ and quslitative ParameteE of Health seryics rend€red

lnformation as at 3UO1l2O20

Valld From To
Name ofTPA License number
a DD/MM/YYYY DD/MM/YYYY
Heritage Health
008 2tl03l2o2o 2OlO3l2O23
lnsurance TPA h^. Ltd.

b serviced of which disclosure is made:

Description lndivldual GrouD Govemment Total
No of policies serviced 88,670 15 88,585

No of lives seruiced 2,87,355 75,922 3,O3,271

C. dlsclosure is made:
No. of policles No. of lives
Sr. No, Name of State Name of Distria
I s€aviced serviced
1 Guiarat Ahmedabad 25,691 7794
2 Gujarat 32,992 1,04,089
3 Orissa Bhubaneswar 2,292 6,882
4 Tamilnad u chennai 7 295
5 Telensana Hyderabad 3,156 10,092
5 Madhva Pradesh lndore 8,954 27,412
7 West Bensal Kolkata 5,107 75,420
I Maharashtra Mumbai 3,897 21,O7s
9 Maharashtra Pune 5,595 38,108

d. Data of
No, of clalms No. of claims
No. of clalms pald setdement Claims
outstendlng at the recelved durlng
dudng the yeal nUd96) repudiation
TPA beginning of year ft€ yel 96

Heritage Health 528 37,135 32,827 ,a*l 3,288 *l 1,5,l8

lnsurance TPA Pvt. Ltd.

e of numb€l
Iresrlption ividual Policles (ln %l GrouD Policles lln %
Sr. ilo. TAT for prc-
autft'
lraru lrartrp."- TAT fol
discherge*t*
ldiscterge"t lauth+*
7 Within <l Hour zzxl 78%l 860/o 84%
2 Within l-2 Hours rrxl rsxl 73% 74%
3 Within 2-6 Hours 1%l sxl 7% 2%
4 Within 5-12 Hours 2%l 1%l trA @A
5 Within 12-24 Hours w"l oxl tr/6 e/6
5 >24 HouE oxl ogel tr/. as
Total 1Oe,6l 100/61 70096 10e,6
tpercentage to be calculated on total of respective column
*'Reckoned frcm the time last necesry dtrument is rseived by insurer/TPA (whichever
is earlier) and till final pre auth is issued in the hospital)
**'Reckoned as final disharge summary sentto hospital from the time discher8e bill is received by TPA

f of clams:

Oescrlption (to lndlvidual Group Government Total

reckoned from the
date of receipt of last
necessary documntl No. of clalms percntage (%l No. of claims percentage l%lp ilo, of claims percentage (%| No. of claims percentage(9{}

Within l Month 28,283 86% 3,fi)4 88% e/6 37,287 87%

Between 1-3 Months 3,302 to% 212 6% @$ 3,514 7tr4
Between 3-6 Months azz 3% 152 4% tr4 974 3%
More than 5 Months 294 toA 42 7% e/6 340 7%
Total 32,705 100% 3,410 1@9( w4 35,115 700%
shall be calculated on total of respective column

Regd. Offlce : Mcleod House, 3 Netajl Subhas Road, Kolkata - 200 001
Helpline : (033) 2248 4648, Emergency Helpline : (033) 2243 6026, Totlfree : 1800 345 3477
Website : www.heritagehealthtpa.com
 HERITAGE HEALTH INSURANCE TPA PVT. LTD.
IRDAI LICENSE NO. : 008 O CIN : U85195tltlBl998PTC088562
NICCO HOUSE, sth FLOOR, 2 HARE STREET, KOLKATA - 7OO OO1
HERITAGE HEALTH
PHONE : (033) 2248 6430 127U. Fa\: (03312231 0287 12210 0837 Emsil : heritage-h€alth@ba,oria in

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3 93

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H€.itage H€.lth lnsu.ancc lPA h,t. Ltd.

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Regd. Offlce : Mcleod Hou3o,3 Netlll Subhar Ro.d, Kolk.t - 700 00t
Helpline : (033) 2248 4648. Emergency Helpline : (033) 2243 6026, To free : 18OO 3.t5 3477
Website : www.herilsgehealthtpa com