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FAMILY HEALTH PLAN (TPA)
LIMITED
CASE STUDY
PRESENTED BY:
MOBIGESTURE SOFTWARE PVT LTD
Family Health Plan (TPA) Limited
1
FAMILY HEALTH PLAN (TPA) LIMITED
Family Health Plan (TPA) Ltd (FHPL) is pioneering as one of the best Third Party Administrators in Health
Insurance sector for providing quality assistance to core groups of health care industry. FHPL is licensed
by Insurance Regulatory Development Authority of India and acts as a nodal agency between the core
groups of health care industry. The core groups are Insurance companies, insured members (Policy
holders)) and Hospitals (healthcare service providers). FHPL ensures quality health care and bridges the
gap between the sources for rendering the right service, at right time, to the right person, at a right
price.
With growing number of private corporate hospitals entering the arena of health care service, there is
a tremendous impact on services to health insurance policy holders. FHPL is one of leading Third Party
Administrators providing quality health care services to health insurance policy holders. It helps to
channelize the entire mechanism involved in the process of healthcare and insurance process.
FHP has widened its horizons with 21 operational offices along with its corporate office in Hyderabad.
FHPL is proud to declare the spectacular growth towards reaching 7 million members in its list.
VISION:
To be the most reliable Third Party Administrator in India providing world class healthcare insurance
claims services with the right blend of technology and experience.
SERVICES:
FHPL provides quality services in health care insurance sector. As a Third Party Administrator (TPA), we
facilitate cashless hospitalization at pre listed health care providers like hospitals, diagnostic centres and
nursing homes. FHPL ensures reimbursement claims as a part of its services in the quickest and easiest
way of settlement. FHPL covers the entire spectrum of healthcare insurance policies with its wide
network and linkups with insurance companies, healthcare providers and insured members.
APPLICATION OVERVIEW
FHPL has an application built (FHPL mobile sparrow) by Health bean which
help the user to get policy/claim details on the go, it mainly targets corporate
employees.
Mobigesture has added an enhancement feature to the existing application
TOPUP ENHANCEMENT which enables the user to calculate the premium &
top up details. User himself can have a log of the premium and apply for a top
up which not only saves the users time but also money.
APPLICATION SUMMARY
FHPL is a “First TPA” introducing the mobile application for corporate employees with below
mentioned services.
Employee – Policy/Member details along with the Policy Terms/Conditions
Employee – Claims history along with each claim details
Employee can be able find FHPL Provider Network details
Family Health Plan (TPA) Limited
2
Employee can view mCard (which shows brief e-Card information)
Other generic information about FHPL/FAQ and FHPL Contact details
Calculate the premium details
Add a top up based on profile.
TECHNOLOGY &FEATURES
FHPL application is purely cross platform application, it can support both android, Windows & iOS
devices. Used native code for server calls to optimize the performance and reusability
TOPUP ENHANCEMENT feature was an add on to the application which has enabled the users ease to
add their top ups and calculate the premium, Also user can select any amount of top ups with in their
range.
UI DESIGN
Easy and user friendly screens has been developed for easy navigation of the user, User can easily
access any of the menu item with a single click.
Fig 1: Sign Landing Screen
Family Health Plan (TPA) Limited
3
Fig 2: Screen showing menu list Fig3: Top up enhancement screen
CHALLENGES
TBD

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Fhpl case study

  • 1. FAMILY HEALTH PLAN (TPA) LIMITED CASE STUDY PRESENTED BY: MOBIGESTURE SOFTWARE PVT LTD
  • 2. Family Health Plan (TPA) Limited 1 FAMILY HEALTH PLAN (TPA) LIMITED Family Health Plan (TPA) Ltd (FHPL) is pioneering as one of the best Third Party Administrators in Health Insurance sector for providing quality assistance to core groups of health care industry. FHPL is licensed by Insurance Regulatory Development Authority of India and acts as a nodal agency between the core groups of health care industry. The core groups are Insurance companies, insured members (Policy holders)) and Hospitals (healthcare service providers). FHPL ensures quality health care and bridges the gap between the sources for rendering the right service, at right time, to the right person, at a right price. With growing number of private corporate hospitals entering the arena of health care service, there is a tremendous impact on services to health insurance policy holders. FHPL is one of leading Third Party Administrators providing quality health care services to health insurance policy holders. It helps to channelize the entire mechanism involved in the process of healthcare and insurance process. FHP has widened its horizons with 21 operational offices along with its corporate office in Hyderabad. FHPL is proud to declare the spectacular growth towards reaching 7 million members in its list. VISION: To be the most reliable Third Party Administrator in India providing world class healthcare insurance claims services with the right blend of technology and experience. SERVICES: FHPL provides quality services in health care insurance sector. As a Third Party Administrator (TPA), we facilitate cashless hospitalization at pre listed health care providers like hospitals, diagnostic centres and nursing homes. FHPL ensures reimbursement claims as a part of its services in the quickest and easiest way of settlement. FHPL covers the entire spectrum of healthcare insurance policies with its wide network and linkups with insurance companies, healthcare providers and insured members. APPLICATION OVERVIEW FHPL has an application built (FHPL mobile sparrow) by Health bean which help the user to get policy/claim details on the go, it mainly targets corporate employees. Mobigesture has added an enhancement feature to the existing application TOPUP ENHANCEMENT which enables the user to calculate the premium & top up details. User himself can have a log of the premium and apply for a top up which not only saves the users time but also money. APPLICATION SUMMARY FHPL is a “First TPA” introducing the mobile application for corporate employees with below mentioned services. Employee – Policy/Member details along with the Policy Terms/Conditions Employee – Claims history along with each claim details Employee can be able find FHPL Provider Network details
  • 3. Family Health Plan (TPA) Limited 2 Employee can view mCard (which shows brief e-Card information) Other generic information about FHPL/FAQ and FHPL Contact details Calculate the premium details Add a top up based on profile. TECHNOLOGY &FEATURES FHPL application is purely cross platform application, it can support both android, Windows & iOS devices. Used native code for server calls to optimize the performance and reusability TOPUP ENHANCEMENT feature was an add on to the application which has enabled the users ease to add their top ups and calculate the premium, Also user can select any amount of top ups with in their range. UI DESIGN Easy and user friendly screens has been developed for easy navigation of the user, User can easily access any of the menu item with a single click. Fig 1: Sign Landing Screen
  • 4. Family Health Plan (TPA) Limited 3 Fig 2: Screen showing menu list Fig3: Top up enhancement screen CHALLENGES TBD