Involved participants
List of participants involved and their role in the above mentioned types of disputes
Last updated
List of participants involved and their role in the above mentioned types of disputes
Last updated
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.
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