Vidal Health Insurance TPA Services

Vidal Health Insurance TPA Services is one of the largest and most trusted health insurance third-party administrators (TPA) in India. While Vidal is not an insurance company itself, it plays a crucial role in managing health insurance services for millions of policyholders and many of India’s top insurance companies.

What is Vidal Health Insurance TPA?

Vidal Health TPA is a licensed third-party administrator approved by IRDAI. Its job is to help health insurance policyholders get cashless treatment, process claims smoothly, and make the experience hassle-free for both customers and hospitals. Vidal Health works with many public and private health insurance companies and is connected to thousands of hospitals across India.

Key Highlights

• Serves over 35 million policyholders across India
• Connected with more than 12,000 network hospitals and clinics
• Operates in 800+ cities and towns
• Handles about 1 million claims and 8 lakh pre-authorization requests every year
• Offers both cashless and reimbursement claim support

Who Owns Vidal Health Insurance TPA?

Vidal Health is a private company that became part of the Bajaj Finserv Health group in 2024. Being under Bajaj Finserv’s leadership, Vidal has expanded its digital services and improved customer support across India.

Main Services Provided by Vidal Health TPA

For Policyholders

• Cashless Claim Processing: Vidal enables cashless treatment at network hospitals so you don’t pay bills upfront.
• Reimbursement Claim Support: If you visit a non-network hospital, Vidal helps you claim your expenses later.
• E-card Issuance: Get a digital health insurance card for easy identification and cashless processing.
• 24x7 Helpline: Toll-free numbers and online chat support are available for claim status and queries.
• SMS & Email Alerts: Get instant updates about your claim and pre-authorization requests.
• Helpdesks at Hospitals: Support teams are available at many major hospitals to assist you directly.

For Insurance Companies and Hospitals

• Fast Claim Processing: Quick claim approval and settlement with integrated digital platforms.
• Hospital Empanelment: Supports onboarding and negotiation for hospitals joining the Vidal network.
• Tech Support: Real-time claim status dashboards for insurers and hospitals.
• Quality Assurance: Follows international quality and data security standards.

Digital Tools

• Mobile App: Policyholders can view their policy, track claims, download e-cards, and get telemedicine support.
• Online Doctor Consultation: Access online health advice from registered doctors.
• WhatsApp and Portal Support: Quick claim status and service requests through digital channels.

Cashless Claim Process with Vidal Health

1. Visit any hospital listed in Vidal’s cashless network.
2. Show your Vidal e-card and valid ID proof at the hospital helpdesk.
3. The hospital fills and submits a pre-authorization form online to Vidal.
4. Vidal processes the request, verifies your policy, and approves or rejects the claim (usually within a few hours).
5. After discharge, Vidal settles the hospital bill directly with the hospital (except for non-covered items and co-pay).

Reimbursement Claim Process

If you take treatment in a non-network hospital:

1. Pay the hospital bills yourself.
2. Download and fill the claim form from Vidal’s website.
3. Attach all original hospital bills, discharge summary, and ID proof.
4. Submit the documents to the nearest Vidal Health office.
5. Vidal reviews and processes your claim. Amount is reimbursed to your bank account, usually within 7–10 working days.

List of Insurance Companies Partnered with Vidal Health TPA

Vidal Health TPA works with a wide range of insurance companies in India, such as:

• Aditya Birla Health Insurance
• Bajaj Allianz General Insurance
• Care Health Insurance
• Cholamandalam MS General Insurance
• Go Digit General Insurance
• HDFC ERGO General Insurance
• ICICI Lombard General Insurance
• Niva Bupa Health Insurance
• SBI General Insurance
• Star Health and Allied Insurance
• Tata AIG General Insurance
• New India Assurance Company
• Oriental Insurance Company
• United India Insurance Company
• Universal Sompo General Insurance

And many more.

Office Locations and Contact

Vidal Health TPA has regional offices in major cities like:

• Bangalore (Head Office)
• Mumbai
• Chennai
• Pune
• Delhi NCR (Gurgaon)
• Kolkata
• Hyderabad
• Ahmedabad

Contact details:

• General helpline: Available 24x7
• Email support: care@vidalhealth.com
• Branch phone numbers: Listed on their website

Pros and Cons of Using Vidal Health TPA

Pros

• Large network of hospitals for easy cashless treatment
• Fast and transparent claim processing
• Digital platform for claim tracking and e-cards
• 24/7 customer support
• Empanelled with all leading insurance companies

Cons

• Vidal is not the insurer—coverage and claim approval still depend on your insurance company’s rules
• Sometimes claims can be delayed due to missing paperwork from hospitals
• Co-payment and non-medical expenses are not covered by Vidal

Frequently Asked Questions (FAQ)

Is Vidal Health TPA an insurance company?

No. Vidal is a third-party administrator. Your health insurance is issued by the insurer, not Vidal.

How do I know if my policy uses Vidal Health TPA?

Your policy schedule or health card will mention the TPA name. You can also check with your insurer or log in to Vidal’s portal with your policy number.

Can I get cashless treatment at any hospital?

Cashless service is only available at hospitals in Vidal’s empanelled network. For other hospitals, use the reimbursement process.

How do I check my claim status?

You can check claim status via the Vidal Health website, mobile app, WhatsApp, or by calling customer care.

What if my cashless claim is denied?

You can opt for reimbursement by paying bills first and then submitting documents to Vidal Health.

Vidal Health Insurance TPA Services makes health insurance easier for millions of Indians by managing claims and providing support between policyholders, insurers, and hospitals. While Vidal does not sell policies, it is a trusted partner for cashless and reimbursement services with nearly all major health insurers in India.