Status Check, Procedures, Facilities

Organization : Family Health Plan (TPA) Ltd
Service Name : FHPL Claim Tracker
Website : https://www.fhpl.net/#/claim_tracking

FHPL Claim Tracker

Track your claims by entering the following details in the link given above.

Related / Similar Service :
Medi Assist India TPA Claim Tracker

Required Details :
1. Claim No. (OR) Cashless No. (OR) UHID / Member ID
2. Date Of Hospitalization

FAQ On FHPL

Should the claim be submitted with the insurance company or with FHPL?:
Preferably at FHPL only.

In case of rejected claims, where should they be appealed?:
TPA cell at the respective insurance company

In case of payments, can the member or the member’s representative collect the same?:
Only member is eligible to receive the payment

In case of part settlement of claims, can the member claim for the balance by producing the required documents?:
Yes, but only eligible amount as per the terms and condition of the policy shall be paid. The member has to quote the claim number & UHID for such resettlement

In case of change of residence, can the cheque be sent to the new address?:
No, unless an endorsement from the policy issuing office of such change of address is produced.

Are there chances of ‘claim rejection’?:
Yes, claim will be settled as per terms and conditions of policy issued.

In case of non-receipt of ID Card, can one avail cashless treatment? What is the procedure?:
A member can start availing the cashless treatment if the member is already enrolled with a UHID No: but it is mandatory to prove the identity at the time of discharge hence the member is advised to provide a photo along with the proof of identity before discharge.

Are there any charges by the hospital, which are not reimbursable and hence have to be paid by me even after “Cashless Service” has been authorized for treatment in the network hospitals?:
Yes. There are quite a few charges, which are not reimbursable and have to be paid by you even though you have been authorized for “Cashless Service” at the Network Hospitals

What are the services offered by FHPL to its beneficiaries?
FHPL is the service provider for required Health care service to its members through activities like  Cashless services at Over 3200 Network Hospitals, Member Reimbursement facility for non-network hospitals, Enrollment of members for issuance of health cards, 24/7 call centre to attend customer queries and Claims administration.

How different is FHPL from Health Insurance Company?
FHPL is a Third Party Administrator (TPA) in health Insurance Sector servicing all four public sector insurers and many Private Insurance Companies. FHPL is an intermediary between insurance company and policy holder.

What does an Insurance Policy cover? Is maternity covered under Insurance Policy?
‘Healthcare Packages’ of Insurance is standard Mediclaim Policy for individual members. Majority of policies do not cover maternity. A few policies cover maternity with waiting period.

What are the exclusions in the policy?
Exclusion in the policy varies from insurer to insurer. Generally hospitalization during first 30 days from inception of policy is excluded subject to exceptions. There are specific exclusions during first one, two, three and four years of policy. Policy schedule and wording need to be referred to know the conditions applicable.

Whether Out Patient services covered under the insurance policy?
Out Patient services is not covered under any Insurance policy.

Functions of FHPL

Family Health Plan Limited (FHPL) is a Third Party Administrator (TPA) in India that provides health insurance benefits administration services to individuals, corporates, and government bodies. FHPL was founded in 1995 and is headquartered in Hyderabad, Telangana.

FHPL’s functions include:
** Providing claims processing services: FHPL processes claims submitted by policyholders for reimbursement of medical expenses.
** Providing network management services: FHPL maintains a network of hospitals and healthcare providers that policyholders can use for treatment.
** Providing customer service: FHPL provides customer service to policyholders to answer questions and resolve issues.
** Providing data analytics: FHPL analyzes data to identify trends and patterns in healthcare spending. This information is used to improve the efficiency of health insurance plans.
** Providing risk management services: FHPL provides risk management services to help policyholders protect themselves from financial losses due to medical expenses.