ORALZY
Concept

Live TPA Pre-Auth kin TPA ko aur kaise bhejta hai?

Setup → Integrations → Live TPA Pre-Auth me 5 TPA hain: MediAssist (AI voice call / IVR), Star Health aur HDFC ERGO (email), Bajaj Allianz aur ICICI Lombard (email bhejta hai + portal par haath ka step — card par "stub" likha aata hai). Sab TPA shuru me OFF hote hain; ek-ek karke test karke on karo.

Where in ORALZY: Setup → Integrations → Live TPA Pre-Auth

"stub" ka matlab: us TPA ka seedha portal / API se bhejna abhi bana nahi hai — app pre-auth email bhej deta hai, par intimation number apne aap nahi aata. Bajaj ke liye apne Bajaj HealthAssure login se portal par "New Pre-Auth Request" daalni hoti hai aur number ORALZY me khud likhna hota hai. Card ke "Custom inbox (override)" me us TPA ka pre-auth email badal sakte ho. Is page par sirf yahi 5 TPA on ho sakte hain — doosre TPA (FHPL, Vidal jaise) ke liye abhi yahan se pre-auth nahi jaata. Pre-auth patient ko nahi, TPA ko jaata hai. Bhejna claim ke AI drawer ke "📤 Submit to TPA" se hota hai. Ye 'Govt Schemes & Insurance' add-on ka hissa hai — menu me na dikhe ya 'Upgrade required' aaye to Setup → Plan & Help → Store se le sakte hain.

Quick steps

  1. Setup → Integrations → Live TPA Pre-Auth kholo
  2. Har TPA card par uska Method aur "stub" badge dekho
  3. Jo chahiye uska checkbox on karke "Save settings"

tpapreauthmediassiststarhealthbajajicicihdfcivr