Vidal Health: how claims work, and what to do when they stall
Vidal Health Insurance TPA Private Limited is a third-party administrator licensed by IRDAI under registration number 016, valid to 15 May 2026 (IRDAI, List of Third Party Administrators as on 18 February 2026). Holds IRDAI registration 016. Older policy documents and cards may still carry the TTK Healthcare name.
If your card shows a different name
Vidal Health was previously known as TTK Healthcare Services. Older policy documents and health cards may still carry that name; it is the same registered entity.
What Vidal Health decides, and what it does not
This is the single most useful thing to know, because it changes who you argue with. A TPA administers the claim: it issues the health card, receives the hospital’s pre-authorisation request, checks the documents against the policy and recommends an outcome. The insurer decides, and the insurer is the party your contract is with.
So when a claim is refused or cut down, escalating inside Vidal Health is usually the slow route. The accountable party is the insurer, and the regulatory escalation ladder runs through the insurer, not the TPA.
Finding your Vidal Health number and card
We deliberately do not publish a single Vidal Health helpline, because there is not one. A TPA runs a separate line and a separate claim desk for each insurer programme it administers, so a number that works for one policy reaches the wrong queue for another. Three reliable places, in order:
- Your health card or e-card. It carries the TPA name, your TPA ID and the number the hospital desk actually calls.
- Your policy schedule or welcome letter. Names the TPA and its claim-submission address.
- Your insurer’s helpline. Ask for the TPA and the TPA claim reference against your policy number. Our insurer claim guides carry the verified helpline for each insurer.
When a Vidal Health claim stalls: the escalation ladder
Ask the insurer for the decision in writing with the policy clause it relies on. A TPA cannot give you a binding answer, and a verbal refusal is not a decision you can appeal.
Must acknowledge within 3 working days and resolve within 15. Quote the claim number and attach the written refusal.
File at bimabharosa.irdai.gov.in if the insurer's response is unsatisfactory or does not arrive in 15 days.
Within one year of the insurer's final reply. Decision within 90 days and binding on the insurer up to ₹30 lakh.
The full walkthrough, including what to write and the deadlines that bind the insurer, is in our IRDAI and Ombudsman guide.
Vidal Health questions, answered
What is Vidal Health in health insurance?
Vidal Health Insurance TPA Private Limited is a third-party administrator licensed by IRDAI under registration 016, valid to 15 May 2026. A TPA does not sell you a policy and does not decide your claim. It administers claims on the insurer's behalf - issuing the health card, receiving pre-authorisation requests from hospitals, checking documents and recommending a decision. The insurer makes the final call.
How do I check my Vidal Health claim status?
Use the claim or intimation number, not the policy number, on Vidal Health's own portal or app. The number that reaches the right desk is printed on your health card, because a TPA runs a separate line for each insurer programme it administers. If the status has not moved and no query has been raised, that is the point to involve the insurer rather than to keep calling the TPA.
Vidal Health rejected my claim. Can I appeal?
A TPA recommends; the insurer decides and is the party accountable to you. Ask for the rejection in writing with the clause it relies on, then raise a grievance with the insurer's grievance cell, which must acknowledge within 3 working days and resolve within 15. If that fails, escalate to IRDAI's Bima Bharosa portal and then to the Insurance Ombudsman.
Is Vidal Health the same as my insurance company?
No, and the distinction matters when something goes wrong. Your contract is with the insurer. Vidal Health is a service provider the insurer appointed, and the insurer can change TPA at renewal without your policy changing. Complaints about a claim decision belong with the insurer, not the TPA.
Claim stuck with a TPA right now?
We read the wording, work out whether the refusal actually holds, and deal with the insurer on your behalf. That is the part a TPA will never do for you.
Talk to an advisor →Registration details from IRDAI, List of Third Party Administrators as on 18 February 2026. NYVO is an IRDAI-registered corporate agent (composite), licence CA1085. We are not affiliated with Vidal Health.
