Health India TPA Services Pvt. Ltd.

What Health India TPA Services Pvt. Ltd. does

Health India TPA Services Pvt. Ltd. (legally HealthIndia Insurance TPA Services Pvt. Ltd.) is an Indian Third Party Administrator (TPA) licensed by the Insurance Regulatory and Development Authority of India (IRDAI License No. 022) to process health insurance claims and administer policies on behalf of insurance companies. Incorporated as a Private Limited company in 2017, the firm is ISO 9001:2008 certified and operates exclusively in the Indian market. Its business model is B2B: it earns transaction fees per claim processed and per policy administered, charging insurance company clients on a quote-based managed-services basis with no public pricing disclosure.

The company's core product is the PIMS (Policy Information Management System), a web-based platform built on ASP.NET WebForms that provides dedicated login portals for insurance companies (HDFC, Apollo Munich, TAGIC/Tata AIG General Insurance, PNM, DC), individual agents, and specific partner programs such as Max Life Mediconnect. Beyond core claims processing and policy administration, the platform extends into Tele-MER (remote Medical Examination Request), Tele-Underwriting (remote underwriting), and a DND compliance module for regulatory SMS handling. Named enterprise clients include HDFC, Apollo Munich Health Insurance, TAGIC (Tata AIG General Insurance), and Max Life Insurance.

Reach is domestic only, with no evidence of international expansion, external funding, M&A activity, or leadership changes. The company distributes through direct B2B sales enabled by its portal infrastructure, with light brand presence on Facebook, Twitter, LinkedIn, and Google+. No headcount, revenue, or headcount-trend data is disclosed.

Name

Health India TPA Services Pvt. Ltd.

Legal name

HealthIndia Insurance TPA Services Pvt. Ltd.

Website

https://healthcare-india.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

251–500 employees

Short description

Health India TPA Services is an Indian Third Party Administrator (IRDAI License No. 022) that operates the PIMS platform to process health insurance claims and administer policies for insurance company clients including HDFC, Apollo Munich, Tata AIG, and Max Life. Founded in 2017.

Ownership category

akta.pro rank

Product category

Health Insurance Third Party Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Agencies, Brokerages, and Other Insurance Related Activities (5242)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Self-Funded Employer Plan TPA (ASO Administration) (HLAEALAA)

akta.pro secondary industries

Member Services & Contact Center Operations (TPA) (HLAEALAI), Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)

Keywords

• Health insurance administration
• Third party administrator
• Claims processing services
• Policy management system
• Insurance TPA platform

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Claims Processing Fees: TPA services generate revenue through transaction fees charged per claim processed, policy administered, and member enrolled in health insurance plans.
2. Insurance Administration Services:

Distribution channels2 records

Marketing channels2 records

Core offering

Health India TPA Services operates as a licensed Third Party Administrator (TPA) for health insurance in India, delivering claims processing, policy administration, member enrollment, and customer service through its integrated PIMS (Policy Information Management System) platform. The company serves multiple insurance companies (HDFC, Apollo Munich, Tata AIG, Max Life) with dedicated login portals for insurers, agents, and intermediaries, and extends its platform with Tele-MER (remote medical examination), Tele-Underwriting, and DND compliance modules.

Product overview

Health India TPA Services Pvt. Ltd. operates as a Third Party Administrator (TPA) for health insurance, offering a unified platform called PIMS (Policy Information Management System). This single integrated system provides multiple stakeholder login portals enabling insurance companies, agents, and healthcare providers to manage claims processing, medical examinations, underwriting, and policy-related data through connected modules including Insurance Company Login, HDFC Login, Apollo Munich Login, TAGIC Login, PNM Login, DC Login, Agent Login, Mediconnect Login, Tele. MER Login, Tele. Underwriting Login, and DND Login.

Differentiator

Problem solved

Functional benefit

Products and services

• PIMS (Policy Information Management System) Web-based platform providing login access for insurance companies, agents, and third-party stakeholders to manage health insurance claims processing, case status tracking, data uploads, and underwriting workflows. The platform is the central entry point and operating system for all TPA services.
• Third Party Administration (TPA) Services Licensed TPA services for health insurance companies, including claims adjudication, policy administration, member enrollment, customer service, and regulatory compliance. Operations are backed by IRDAI License No. 022 and ISO 9001:2008 quality certification.
• Tele-MER (Medical Examination Request) System Standalone portal that enables remote medical examination requests for health insurance underwriting, allowing insurance companies and providers to coordinate medical assessments without in-person visits.
• Tele-Underwriting Platform Standalone portal for remote underwriting of health insurance policies, providing insurance companies with a digital workflow to evaluate and approve applicants without physical paperwork.

Named customers4 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators2 records

Recent moves5 records

Expansion highlights3 records

Direct peers

• East-West Assist Insurance TPA Pvt Ltd: Indian TPA offering health and travel insurance claims administration with insurance carrier and agent portal interfaces. Comparable to HealthIndia in TPA scope and B2B distribution model.
• Vipul MedCorp TPA Pvt Ltd: IRDAI-licensed Third Party Administrator providing health insurance claims processing and policy administration services. Comparable to HealthIndia TPA on regulatory positioning, customer base (Indian insurers), and service scope.
• Raksha TPA Pvt Ltd: Indian TPA providing health insurance claims administration, hospital network management, and member services for multiple insurance partners. Closely comparable to HealthIndia's offering in terms of client type (insurance carriers) and service model.
• Paramount Health Services & Insurance TPA Pvt Ltd: Indian health insurance TPA offering claims adjudication, pre-authorization, and policy administration for multiple insurance carriers. Highly comparable to HealthIndia as a same-category TPA serving enterprise insurance clients across India.
• E-Meditek (TPA) Services Limited: Established Indian TPA focused on cashless claims administration and policy servicing for insurance carriers. Direct peer to HealthIndia in the IRDAI-licensed TPA category with similar transaction-fee revenue model.
• Medi Assist Healthcare Services Limited: India's largest Third Party Administrator for health insurance claims, serving most major Indian insurers including public and private carriers. Direct competitor to HealthIndia TPA in the same IRDAI-regulated TPA segment with similar claims-administration, policy-management and member-services scope.
• MDIndia Health Insurance TPA Pvt Ltd: IRDAI-licensed TPA focused on health insurance claims administration and policy servicing in India. Overlaps directly with HealthIndia TPA on core claims processing, provider network management, and insurance-company-facing portal services.
• Alankit Insurance TPA Limited: IRDAI-licensed Indian TPA delivering claims processing, policy administration and member services to insurance carriers. Same regulatory category and customer segments as HealthIndia TPA Services.

Broad incumbents

• HDFC ERGO General Insurance Company Limited: Major Indian general and health insurer that is both a HealthIndia customer and a potential in-house administrator. A broad incumbent in the broader health insurance value chain that competes indirectly by insourcing TPA-adjacent functions.

Emerging players

• Plum Benefits (Plum Benefits Pvt Ltd): Digital employee health-insurance and group benefits platform in India that brokers and administers plans for employers and partners with insurers. Adjacent but newer entrant versus traditional TPAs like HealthIndia, competing for similar insurer and employer wallet share.

Market position

Weaknesses1 record

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/health-india-tpa-services-pvt.-ltd.

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 India TPA Services Pvt. Ltd.