NATIONAL HEALTH INSURANCE AUTHORITY ACT, 2022
Section 20: Third Party Administrator.
(1) A Third Party Administrator shall -
(a) be registered by the Authority to perform such functions as are specified under this Act; and
(b) comply with all the requirements for Third Party Administrators under the regulations to be made by the Minister.
(2) A Health Maintenance Organisation may act as a Third Party Administrator if it -
(a) meets the requirements for doing so under this Act; and
(b) is contracted to do so.
(3) A Third Party Administrator established under this Act shall -
(a) manage the providers including continuous quality assurance;
(b) ensure patient satisfaction through relevant mechanisms, including the operation of call centres; and
(c) perform other administrative functions which they are required to perform to facilitate the implementation of a State health scheme or functions as required by the Authority.
Cite this section
Section 20, NATIONAL HEALTH INSURANCE AUTHORITY ACT, 2022 (2022).
https://repo.podus.ai/laws/national-health-insurance-authority-act-2022/section/20/