TPA/Cashless Treatment
Claim Procedure :
Step 1: Patient Presents For Admission
Step 2: Filling Up Of The Pre Authorisation Form By Treating Doctor And Sending ToTPA / Insurance Company Concerned And Waiting For Initial Approval. The Estimated Amount Of Expenditure Is Mentioned There
Step 3: TPA/Insurance Company May Revert Back With Queries If Any Which Are Replied By The Hospital
Step 4: TPA/Insurance Company Sends Provisional Approval As Per Patients Policy Details
Step 5: Patient Is Allowed To Undergo Treatment At The Hospital As Per Approval
Step 6: Prior To Discharge The Final Bill , Treatment Details & The Discharge Summary Of The Patient Is Sent To The TPA/Insurance Company For Final Approval
Step 7: TPA/Insurance Company May Have Multiple Queries Which Have To Be Replied To By The Hospital. Approval Is Not Sent Till All Queries Have To Be Answered And The TPA /Insurance Company Is Totally Convinced That Treatment Has Been Done As Per Approval
Step 8: After Final Approval Is Received The Patient Is Clear For Discharge
Benefits of Cashless Hospitalization :
You do not have to worry about finances in case of a hospitalization, thus giving you peace of mind.
You are assured of receiving the best medical treatment when you know you are adequately covered.
When you avail of cashless hospitalization insurance, it is important to read all the terms and conditions and understand the inclusions and exclusions to avoid any surprises. It is also important you retain copies of all bills, reports, claim forms, and discharge papers as these may be required in the future.