Our Trusted Health Insurance & TPA Partners
Primax Gastro Institute & Super Speciality Hospital, Sonipat, is empanelled with multiple Third Party Administrators (TPAs) and Health Insurance Companies to facilitate cashless hospitalization for insured patients across India.
At Primax Hospital, our goal is to make every step of your treatment — from admission to discharge — as seamless as possible through our strong partnerships with leading TPAs across India.
Seamless Insurance Support Through Our TPA Partners
A Third Party Administrator (TPA) is an IRDAI-licensed organization that acts as an intermediary between insurance companies and policyholders. TPAs manage health insurance claims, process cashless hospitalization requests, and handle documentation on behalf of insurers.
Since 2019, the Insurance Regulatory and Development Authority of India (IRDAI) has allowed policyholders to choose their preferred TPA at the time of policy purchase or renewal, ensuring greater transparency and faster claim processing.
Cashless Claim Authorization:
Coordinate with insurers and hospitals to approve cashless admissions.
Health Card Issuance:
Issue e-cards with essential policyholder and policy details.
Reimbursement Claim Processing:
Handle reimbursement claims for non-network hospitalizations.
Record Maintenance:
Maintain claim histories, hospitalization data, and policy details.
Contact Information
Primax Gastro Institute & Super Speciality Hospital
📍 Bahalgarh Road, Sector-4, Sonipat, Haryana - 131001
📞 Emergency: +91 9666-46-0009
✉️ Email: care@primaxhospital.com
🕐 24×7 Emergency Services Available
Since 2019, IRDAI regulations have allowed policyholders to choose their preferred TPA from a list provided by the insurance company. While selection is optional, having a TPA assigned to your policy facilitates smoother claim processing.
Under the “Cashless Everywhere” initiative, you may still be eligible for cashless treatment even at non-network hospitals. Additionally, you can always opt for reimbursement claims by paying upfront and submitting bills to your TPA after treatment.
For planned hospitalizations, TPA approval typically takes 24-48 hours after the pre-authorization form is submitted. For emergency cases, TPAs prioritize requests and may approve within a few hours.
You need to present your health insurance card/e-card, valid government ID proof, policy number, and a filled pre-authorization form at the hospital’s insurance desk. Additional medical documents may be requested depending on the treatment.
There is no limit on the number of claims, but the total claim amount cannot exceed your sum insured as per your policy. Some policies offer cumulative bonuses that increase your sum insured for claim-free years.
Reimbursement claims typically take 15-30 days from the date of submission of complete documents. The TPA verifies all documents and forwards the claim to the insurance company for final approval and payment
Disclaimer: The TPA list is subject to changes from time to time. Primax Hospital and insurers reserve to modify, add, or remove TPAs or network tie-ups without prior notice. You can check with us or call your TPA’s customer care before availing the cashless service.
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