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Post Graduate Diploma in Health Insurance Management (PGDHIM)
3rd SET OF ASSIGNMENT
PRN No.:_________________
Student Name:____________
Answer the following questions:
Course 4: Health Insurance Claims Management
• What is Third Party Administrator (TPA)? Enlist the role of TPA. (5 Marks)
• What is claims? Why is health claims repudiated? (5 Marks)
Course 5: Legal Aspects in Health Insurance
• What are the general guidelines to TPAin respect of services in relation to Health Insurance
Policies as per Regulations, 2016. (10 Marks)
• Write down the important provisions relating to health insurance products as per IRDAI (Health
Insurance) regulations 2016 (5 Marks)
Course 6:

2. Senapati Bapat Road, Pune - 411004, Maharashtra, India I Tel. : 02025655023, 9552588162
website: www.ssodl.edu.in
Project Synopsis- As a part of continuous assessment 15 Marks
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or
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