Cashless Insurance Services

Cashless Insurance Services

We are empanelled with the top insurance Companies & TPA’s for providing Cashless claims

 

General Information Regarding Insurance Services

Location: St. Augustine Block, Ground Floor

Phone: 0484 275 5306, 275 5386

Email Id: insurance@lisiehospital.org

Office hours: 8 am to 7 pm (Monday to Saturday)

Documents for Cashless Applications:

  • Medical Records Department Card (MRD No)
  • Identity & Address Proof of Patient
  • Pan Card & Address Proof of Policy Holder
  • Policy Copy or TPA card copy of current year
  • Investigation Reports for supporting diagnostics or any other hospitals related documents of present illness(Past records)

Cashless Insurance / Third Parties (Tpa’s)Available :

  • ADITYA BIRLA
  • MANIPAL CIGNA
  • FUTURE GENERALI
  • HDFC ERGO GENERAL INS.
  • HEALTH INSURANCE TPA
  • ICICI LOMBARD
  • LIBERTY GENERAL INS.
  • MD INDIA
  • PARAMOUNT (NO CASHLESS -ORIENTAL INS.)
  • RELIANCE GENERAL INSURANCE
  • STAR HEALTH INSURANCE
  • UNITED HEALTH CARE
  • VIPUL MED CORP
  • BAJAJ ALLIANCE GENERAL INSURANCE
  • APOLLO MUNICH(HDFC ERGO HEALTH INS)
  • FAMILY HEALTH PLAN (NO CASHLESS -KOTAK INSURANCE)
  • GOOD HEALTH PLAN LTD
  • HEALTH INDIA
  • HERITAGE
  • ICICI PRUDENTIAL
  • MAX BUPA
  • MEDI ASSIST
  • RAKSHA TPA
  • RELIGARE
  • SAFEWAY
  • VIDAL HEALTH
  • 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
  • Implants/Stents sticker
  • KYC Details-Copy of Id Proof and Address proof & Bank details
  • Claim Form –PART A filled by policy holder

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