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RAP MCQ SET 3

Q1. The major duty of the TPA is
              ClaimManagement
              HospitalManagement
               CashManagement
             Noneoftheabove
Q2. Third Party Administrators are intermediaries providing
            Health insurance services on behalf of Insurance Companies.
            Financial advice on behalf of Insurance Companies
            Sale of health Insurance polices of Insurance companies
            None of the above
Q3. TPA's are authorized by the Insurer to
           Maintenance of data about the health insurance claims,
           Rendering customer support in settlement of claims
           Liaison with hospitals and policy holders for better health care management
           all the above
Q4. In a cashless Mediclaim
          policy the claim amount is paid by the Insurance company to the
         TPA.
         Policyholder
         Hospital
         none of the above
Q5. Health ID cards are provided to all their policy holders in order to validate their identity at the time of admission by
         TPA
         Insurer
         Hospital
         None of the above
Q6. Network Hospital in Health Insurance refers to
          Hospitals with which TPAs tie up for cash less treatment
         Corporate hospitals in Metrocities
         Multispecialty hospitals for specialized treatment
         None of the above
Q7. TPA should provide
        24 hour customer support service
        ID card
        Claim advice
        All the above
Q8. Third Party Administrators operating in Health insurance sector are licensed by IRDA under
        IRDA(Policy Holders Protection) Regulations of 2002
        IRDA(Third PartyHealth
        Services) Regulations of 2001.
        IRDA(Obligation of Insurer to Rural and Social Sector)2005
        None of the above
Q9. If a Insurance company appoints a TPA under health Insurance
        The liability to settle the claim remains with the insurers
        The liability to settle claims is transferred to TPA.
        The liability to settle claim is with the hospital
         None of the above
Q10. Third Party Administrators operating in Health insurance sector are licensed by
         GovernmentofIndia
         Insurance Companies
         IRDA
        None

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