Health Insurance TPA of India pre-auth form, portal and email ID

Download the Health Insurance TPA of India pre-authorisation form, send it through the provider portal, and attach the documents below. Health Insurance TPA of India is a third party administrator; the cashless decision is due within one hour under IRDAI rules.

Step by step

Check the patient's health card
Confirm the card names Health Insurance TPA of India as the TPA, and note the insurer, policy number, member ID and sum insured. If a different TPA is named, the request goes there instead.
Take the Health Insurance TPA of India pre-auth form
Use the Health Insurance TPA of India format if you have it, or the standard IRDAI cashless request form, which most insurers and TPAs accept.
Fill it and attach the documents
Patient part and declaration by the patient or attendant; clinical part by the treating doctor — duration of illness, provisional diagnosis with ICD-10 code, line of treatment and a cost estimate by head. Attach the documents listed below.
Send it in time
Submit it through the Health Insurance TPA of India provider desk with the documents below. Keep the reference number the portal or the reply gives you. Most policies require intimation within 24 hours of an emergency admission and 48–72 hours before a planned one.
Track the decision and the discharge
The cashless decision is due within one hour and final discharge authorisation within three hours of the hospital's request (IRDAI master circular, May 2024). Answer any query the same day.

Who handles Health Insurance TPA of India cashless requests

Health Insurance TPA of India is a third party administrator licensed by IRDAI. It does not insure anyone itself: it processes cashless requests and claims on behalf of the insurance companies that appoint it, mostly for group and public-sector policies. When the patient's health card names Health Insurance TPA of India, the pre-auth goes to Health Insurance TPA of India, which approves, queries or denies it for the insurer — and the insurer named on the policy pays the claim.

Documents to attach

Pre-auth form signed by the patient (or attendant) and the treating doctor
Health card / e-card of the policy serviced by Health Insurance TPA of India and the patient's photo ID
Admission advice and the doctor's consultation notes
Investigation reports that support the diagnosis (blood work, imaging, ECG as relevant)
Cost estimate by head — room, surgeon, anaesthetist, OT, implants, medicines
For an accident or injury: the MLC / FIR copy, or a note on why none was made
For a planned surgery: earlier prescriptions showing when the condition was first diagnosed

Working with Health Insurance TPA of India

A TPA answers to the insurer that appointed it. If Health Insurance TPA of India does not respond, keeps repeating a query, or makes a deduction you dispute, escalate in writing to the insurer's provider desk and its grievance officer, quoting the pre-auth or claim number. The settlement amount is paid by the insurer on the policy, and a deduction by the TPA can be contested with that insurer.

Avoid a query

Most pre-auth queries come from three gaps: no duration of illness, no ICD-10 code, and a cost estimate given as one figure. The full field-by-field list is in how to fill a pre-auth form.

If Health Insurance TPA of India queries or denies the pre-auth

A query is not a rejection. Reply the same day, answering only what was asked, with the supporting document attached — see how to reply to a pre-auth query.

A cashless denial is not a claim rejection. The patient can pay, then file a reimbursement claim with the insurer through Health Insurance TPA of India within the policy's time limit — the denial is often reversed when the full hospital file is seen. If a claim is finally rejected, it can be reconsidered through the grievance officer, IRDAI's Bima Bharosa and the Insurance Ombudsman.

Related guides

Health Insurance TPA of India at a glance

Type: Third party administrator (TPA)
Cashless handled by: Health Insurance TPA of India, for the insurer on the policy
Provider portal: Not published
Pre-auth email ID: Use the portal
Pre-auth form: Standard IRDAI cashless form
Last checked: 2026-10-16

All pre-auth forms · Recover an unpaid Health Insurance TPA of India claim · Rejected claim assistance for patients

Pre-auth forms of other insurers and TPAs

Where can I download the Health Insurance TPA of India pre-auth form?

On this page. Medilock keeps the current Health Insurance TPA of India pre-authorisation form as a free PDF for hospitals — a hospital name and email are asked once per device. If no form is on file, the standard IRDAI cashless request form is accepted by most insurers and TPAs.

What is the Health Insurance TPA of India pre-auth email ID?

No pre-auth email ID is on file for Health Insurance TPA of India; requests are raised on the provider portal. If your hospital has been given an email ID, use the one in your empanelment letter.

How long does Health Insurance TPA of India take to approve a pre-auth?

Under IRDAI's 2024 master circular the decision is due within one hour of the request, and final discharge authorisation within three hours.

What if Health Insurance TPA of India denies cashless?

The patient can still pay and claim reimbursement. If the reimbursement is rejected too, it can be reconsidered through the grievance officer, Bima Bharosa and the Insurance Ombudsman — free, within one year, up to ₹50 lakh.

Health Insurance TPA of India का प्री-ऑथ फ़ॉर्म कहाँ से डाउनलोड करें?

इसी पेज से — अस्पतालों के लिए मुफ़्त। फ़ॉर्म भरकर प्रोवाइडर पोर्टल पर अपलोड करें। फ़ैसला IRDAI के नियम के अनुसार एक घंटे में आना चाहिए।