Involved participants

List of participants involved and their role in the above mentioned types of disputes

Participant Type	Role	Comments
Payors (Insurers)	Complainant/Defendant	HCX role: payer
Health Care Providers	Complainant/Defendant	HCX role: provider
Health Insurance Intermediaries - (Licensed) - E.g., Brokers & Corporate Agents	Complainant/Defendant	HCX role: <TBD>
Health Insurance Facilitators (No licence) - E.g., distributors, marketers, facilitators (Includes Master policy holders and institutions that provide coverage through group policies including self insurance schemes)	Complainant/Defendant	HCX role: member.isnp
Third Party Administrators	Complainant/Defendant	HCX role: agency.tpa
Arbitrators (Online Dispute Resolution Entities )	Fast track arbitration process	Multiple entities to be empanelled by the HCX operator (HCX role: To be decided)
HCX Switch Operator	Complainant/Defendant Data Provider	HCX role: HIE/HIO.HCX

In addition, participants like IRDAI (IGMS system - the existing dispute resolution platform) and insurance ombudsman and grievance redressal system in healthcare being co opted in subsequent phases.

Each participant in the above list will be mapped with HCX participnt roels mentioned in the Access Control section.

Followign sections provides details on the proposed process to follow in the dispute resolution.