Health Insurance TPA of India

What Health Insurance TPA of India does

Health Insurance TPA of India Limited (HITPA) is an IRDAI-licensed Third Party Administrator incorporated on August 14, 2013, structured as a joint venture of India's five public sector non-life insurers — National Insurance, Oriental Insurance, New India Assurance, United India Insurance, and GIC of India. The company processes health insurance claims on behalf of these promoter insurers and their policyholders, offering cashless and reimbursement claim processing, UHID-based member ID card issuance, network hospital management under tripartite agreements, 24x7 customer care via toll-free numbers, provider empanelment, claim verification and investigation, and MIS reporting to insurers. Its registered office is in New Delhi, with a corporate office and central processing centre in Noida and 20+ branch and satellite offices across India covering metros and tier-2 cities.

The company's technology stack comprises a stakeholder-portal architecture with separate web applications for members, hospitals, insurers, investigators, intermediaries, corporates, and auditors, supplemented by the HITPA Insight mobile application (available on Google Play and Apple App Store) and the dedicated IBA E-Card portal for banking-sector group policyholders. Infrastructure investments include a cloud-based contact center at the Noida hub, an SD-WAN solution with multi-year internet connectivity, and an integrated claims management solution currently under a five-year RFP. HITPA also publishes health education content, a health calculator, and a health insurance terms glossary for member engagement.

The business model is a transaction-fee TPA services revenue model: HITPA earns fees from insurance companies for processing cashless pre-authorizations, reimbursement claims, member enrollment and E-card issuance, and related services; pricing is negotiated under IRDAI guidelines and is not publicly disclosed. Customer segments span the five promoter insurers (primary revenue base), insured individual and corporate members (channels: Member Portal, mobile app, toll-free call center), network hospitals (Hospital Portal), corporate and group policyholders including GIPSA, IBA member banks, and Jio (Corporate Portal and dedicated E-card platform), and intermediaries/auditors with role-specific portals. The company is privately held, with no public listings or external funding rounds disclosed.

Name

Health Insurance TPA of India

Legal name

Health Insurance TPA of India Limited

Website

https://hitpa.co.in

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

101–250 employees

Short description

Health Insurance TPA of India Limited is an IRDAI-licensed Third Party Administrator that processes health insurance claims (cashless and reimbursement), issues UHID member cards, and manages a pan-India network hospital system for India's five public sector non-life insurer joint venture partners and their policyholders.

Ownership category

akta.pro rank

Headquarters

HQ city

New Delhi

HQ country

India

HQ region

Asia

Offices21 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales

Revenue model

1. TPA Services Revenue: Revenue generated from providing Third Party Administrator services to insurance companies, including claim processing fees for cashless and reimbursement claims, member enrollment, and card issuance services.

Go-to-market motion1 record

Distribution channels7 records

Marketing channels4 records

Core offering

Health Insurance TPA of India Limited operates as an IRDAI-licensed Third Party Administrator providing health insurance claims administration services to its five public-sector insurance company promoters. Core services include issuance of member ID cards with unique UHID, processing of cashless and reimbursement claims, managing a pan-India network of empanelled hospitals, operating 24x7 customer care via toll-free numbers, and producing MIS reports for insurance company stakeholders.

Product overview

Health Insurance TPA of India Ltd operates as a Third Party Administrator (TPA) licensed by IRDAI, providing health insurance administrative services primarily for five public sector insurance companies (National Insurance, Oriental Insurance, New India Assurance, United India Insurance, and GIC-Re). The company offers a unified platform of TPA services centered on member ID card management, claims processing (both cashless and reimbursement), network hospital management, and 24X7 customer care. Key digital products include the HITPA Insight mobile app and IBA E-Card portal. Additional services encompass provider empanelment, verification/investigation, MIS reporting, and health education resources. The company serves multiple stakeholder segments including individual members, hospitals, insurers, investigators, intermediaries, and corporates through dedicated web portals.

Differentiator

Problem solved

Functional benefit

Products and services

• Member ID Card / E-Card (UHID)
• Cashless Claim Processing
• Reimbursement Claim Processing
• Network Hospitals Access
• 24x7 Customer Care
• Provider Empanelment Service
• Verification and Investigation Service
• MIS and Reports Service
• HITPA Insight Mobile App
• IBA E-Card Portal

Quantifiable outcome

• Claim intimation timelines: 72 hours advance for planned hospitalization, 24 hours for emergency
• +2 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Seven partnerships are on record, tiered flagship and core.

• National Insurance Company LtdflagshipStrategic or Co-development Partner · 14 August 2013HITPA was established as a joint venture with National Insurance Company Ltd as one of the five promoters. The company holds a seat on the Board of Directors through its Chairman and Managing Director.
• The Oriental Insurance Company LtdflagshipStrategic or Co-development Partner · 14 August 2013HITPA was established as a joint venture with Oriental Insurance Company Ltd as one of the five promoters. The company holds a seat on the Board of Directors.
• The New India Assurance Company LtdflagshipStrategic or Co-development Partner · 14 August 2013HITPA was established as a joint venture with The New India Assurance Company Ltd as one of the five promoters. The company holds a seat on the Board of Directors.
• United India Insurance Company LtdflagshipStrategic or Co-development Partner · 14 August 2013HITPA was established as a joint venture with United India Insurance Company Ltd as one of the five promoters. The company holds a seat on the Board of Directors.
• GIC-Re (General Insurance Corporation of India)flagshipStrategic or Co-development Partner · 14 August 2013HITPA was established as a joint venture with GIC of India as one of the five promoters. The company holds a seat on the Board of Directors.
• IRDAI (Insurance Regulatory and Development Authority of India)coreOthersHITPA is licensed by IRDAI as a Third Party Administrator (Registration No. 036, valid till 05.06.2026). IRDAI regulates and oversees all TPA operations in India.
• Network Hospitals (Pan India)coreChannel Partner/ Reseller/ DistributorHospitals across India are empanelled under tripartite agreements between insurers, network hospitals, and HITPA to provide cashless treatment facilities to insured members.

Scale indicators5 records

Recent moves9 records

Expansion highlights5 records

Market position

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health Insurance TPA of India