Investigation Reports for supporting diagnostics or any other hospitals related documents of present illness(Past records)
Cashless Insurance / Third Parties (Tpa’s)Available :
HDFC ERGO GENERAL INS.
HEALTH INSURANCE TPA
LIBERTY GENERAL INS.
PARAMOUNT (NO CASHLESS -ORIENTAL INS.)
RELIANCE GENERAL INSURANCE
STAR HEALTH INSURANCE
UNITED HEALTH CARE
VIPUL MED CORP.
APOLLO MUNICH(HDFC ERGO HEALTH INS)
FAMILY HEALTH PLAN (NO CASHLESS -KOTAK INSURANCE)
GOOD HEALTH PLAN LTD
TATA AIG GENERAL INSURANCE
Procedures for Cashless Application:
If the patient is covered under Health Insurance in our empanelled list, she needs to contact at Cashless Insurance Desk situated in the ground floor at St. Augustine Block.
For the Planned Admissions: Patient can apply for Cashless before 7days of admission.
For the Emergency Admissions: At the time of admission itself, patient can apply for cashless.
For Preauthorization application, the patient needs to bring copies of above mentioned documents
If the card or policy copy is valid, a Pre-authorization duly filled by the concerned doctor along with the copies of the above documents would be forwarded by E mail to the respective Insurance Company / TPA for initial approval.
If it has been approved by Insurance companies/TPA, IP Credit will be sanctioned till the time of discharge.
If patient’s hospital stay exceeds more than 10 days, patient needs to intimate the Insurance Desk with the letter of the treating doctor explaining the present status for further enhancement.
If patient needs any other procedure or surgeries, she needs to intimate Insurance Desk for Enhancement approval.
At the time of discharge day, Final Bill & Discharge Summary will be sent to the Insurance companies or TPA’s with the signature of the patient bystander for final approval. It may take a minimum of three to five hours to receive the approval of the Insurance company/TPA.
On the discharge day, In case, Insurance company approves only a part of the treatment expenses or rejects the entire claim, the patient /relative should pay the remaining amount and get discharged from the hospital immediately
For reimbursement process need to contact PRO office (PRO office is situated near the reception in the ground floor of St Augustine Block & Cardiology PRO Office situated in St. Antonys Block , Ground Floor).
Documents for Reimbursement Claim:
Claim Form –PART B filled by Hospitals authorities
Original Discharge Summary
Original Discharge Bills, Detailed Bill –break up, Receipts of payments
All Diagnostic Test reports
XRAY/CT/MRI Film –original
KYC Details-Copy of Id Proof and Address proof & Bank details