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Family Health Plan Limited (F.H.P.L) has been appointed as implementing agency for implementation of the scheme. F.H.P.L. assists the Yeshasvini Trust in issue of identification cards, recognition of Network Hospitals (NWH), scrutiny of bills etc., Dr. Pratap C Reddy, Chairman, Apollo Group of Hospitals and his dedicated team of worker have been an asset in implementing the programme.
FHPL is the first and largest TPA in the country
Licensed by
Insurance Regulatory and Development Authority (IRDA), Govt., of India . with extensive and in-depth domain experience in health insurance scheme administration. FHPL is the first to conceptualize, design and implement a Self Funded Scheme (SFS) for the first time in India . Domain expert with over a decade of experience in administering medical health schemes. |
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Role of Family Health Plan Limited: in Yeshasvini Scheme :
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Effective maintenance and control of the Yeshasvini fund to curb misutilization |
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Extends cashless treatment to farmer co-operators as per the negotiated tariffs through a chain of Network Hospitals across the State of Karnataka. |
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Assist in managing Yeshasvini help desks in every hospital. |
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Approvals of pre-authorizations sent by the Network Hospitals. |
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Processing of claims and arrangement of reimbursement to network hospitals. |
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Recruitment of required manpower to monitor, manage and maintain the scheme. |
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Maintain a periodic MIS. |
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24/7 call center to guide and assist the members. |
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