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Page A-244
Glossary
TPA: A licensed intermediary that manages cashless claim processing between the hospital and the insurer Co-payment: A fixed percentage of the hospital bill that the policyholder must pay out of pocket, even under cashless cover
Page A-248
Glossary
Pre-authorisation: An approval process where the insurer reviews and approves a cashless treatment request. TPA: An intermediary between the insurer and hospital that facilitates claim processing and cashless approvals.