Paramount Health Services & Insurance TPA – Complete Guide 2025

Paramount Health Services & Insurance TPA Private Limited (usually called Paramount TPA) is one of India’s oldest and most trusted third-party administrators (TPAs). Paramount does not sell health insurance but acts as a vital bridge between insurance companies, hospitals, and policyholders to help manage claims and support health insurance customers.

What is Paramount Health TPA?

Paramount TPA is a licensed third-party administrator, approved by the Insurance Regulatory and Development Authority of India (IRDAI). Established in 1996, it received its TPA license in 2002 and has since grown to serve millions of insured members across India.

Paramount TPA helps insurance policyholders by processing claims, enabling cashless hospitalisation, and making the claim experience simple and user-friendly. It partners with most leading health insurance companies in India.

Key Features of Paramount Health TPA

• Wide Network: Empanelled with more than 14,000 hospitals and clinics all over India for cashless treatment.
• Huge Reach: Supports over 10 million health insurance policyholders.
• Digital Tools: Offers a mobile app and online portal for claim status, policy documents, and e-cards.
• Quick Claims: Known for efficient and transparent claim settlement.
• 24/7 Support: Customer helpline and helpdesks at leading hospitals.

Main Services of Paramount TPA

For Policyholders

• Cashless Claims: Direct settlement with network hospitals, so policyholders do not pay upfront for covered expenses.
• Reimbursement Claims: Support for claims from non-network hospitals; users can submit documents and get expenses refunded.
• E-Card Issuance: Digital health insurance card for easy identification and access at hospitals.
• Claim Status Tracking: Real-time updates by SMS, email, app, and website.
• Support Helpdesks: Available in network hospitals for on-the-spot claim help and documentation.

For Insurance Companies & Hospitals

• Claim Adjudication: Fast and fair assessment of claim documents.
• Hospital Empanelment: Onboarding and managing network hospitals.
• Digital Claims Platform: For insurers to view, track, and manage claims.
• Training & Quality: Ensures staff at hospitals and insurance companies are trained in claim procedures.

Cashless Claim Process with Paramount TPA

1. Visit any Paramount network hospital for treatment.
2. Show your health insurance e-card and a valid photo ID at the hospital’s insurance desk.
3. Hospital submits a pre-authorisation form to Paramount TPA online.
4. Paramount verifies your policy, processes the request, and sends approval or rejection—usually within a few hours.
5. After discharge, Paramount pays the approved bill directly to the hospital (policyholder pays any uncovered or non-medical costs).

Reimbursement Claim Process

If treatment is taken at a non-network hospital:

1. Settle your hospital bills yourself.
2. Download the claim form from Paramount’s website or mobile app.
3. Attach original bills, discharge summary, prescriptions, investigation reports, and your ID proof.
4. Submit documents to the nearest Paramount office or through your insurer’s channel.
5. Paramount processes the claim and reimburses the approved amount to your bank account (usually within 7–10 days).

Insurance Companies Partnered with Paramount TPA

Paramount TPA works with a wide list of health insurance companies in India, such as:

• National Insurance Company
• New India Assurance
• United India Insurance
• Oriental Insurance Company
• ICICI Lombard General Insurance
• HDFC ERGO General Insurance
• Niva Bupa Health Insurance
• Aditya Birla Health Insurance
• Star Health and Allied Insurance
• Bajaj Allianz General Insurance
• Reliance General Insurance
• SBI General Insurance
• Tata AIG General Insurance
• Universal Sompo General Insurance
• And many more

Digital Tools & App

• Mobile App: Policyholders can view policy details, track claims, download e-cards, and check network hospitals from their phone.
• Online Portal: Easy access to forms, claim status, and policy information.
• WhatsApp & Email: Get claim updates and support instantly.
• 24/7 Helpline: Speak with claim specialists any time of day.

Office Locations & Contact

Paramount TPA has regional and branch offices in all major cities, including:

• Mumbai (Head Office)
• Delhi NCR
• Kolkata
• Chennai
• Bangalore
• Hyderabad
• Pune
• Ahmedabad
• Lucknow
• Chandigarh
• And more

Contact details:

• Helpline: 24x7
• Email: support@paramounttpa.com
• Branch phone numbers: Available on the Paramount website

Pros & Cons of Paramount Health TPA

Pros

• Massive hospital network for cashless treatment
• Fast, digital claim process and tracking
• Trusted by most leading insurers in India
• Good customer support and transparency

Cons

• Final claim approval is still as per insurer’s rules, not Paramount’s
• Some claims may be delayed if paperwork is incomplete or missing
• Not an insurance company, only a service provider for claims and support

Frequently Asked Questions (FAQ)

Is Paramount TPA an insurance company?

No, Paramount is a TPA. It manages claims and support, but your policy is issued by your insurer.

How do I know if my policy uses Paramount TPA?

Your health card or insurance documents will mention the TPA. You can also check with your insurer or on Paramount’s website.

Can I use cashless at any hospital?

Cashless treatment is available only at hospitals in Paramount’s network. For other hospitals, you must use reimbursement claims.

How do I check claim status?

Use the Paramount TPA website, mobile app, WhatsApp, or helpline for updates.

What if my cashless claim is denied?

You can still claim reimbursement by paying the bill and submitting your documents to Paramount for approval.

Conclusion

Paramount Health Services & Insurance TPA is one of India’s most experienced TPAs, making health insurance claim processes easier for millions. With a huge network, strong digital support, and a good reputation, it is a valuable partner for policyholders and insurers alike.