CASHLESS


TPA's


United Health care Parekh Insurance TPA Pvt Ltd
Mediassist Insurance TPA Pvt Ltd
MD India Health Insurance TPA Pvt Ltd
Paramount Health Services & Insurance TPA Pvt Ltd
E-Meditek Health Insurance TPA Ltd
Heritage Health Insurance TPA Pvt Ltd
Focus Health Insurance TPA Pvt Ltd
Family Health Insurance TPA Pvt Ltd
Raksha Health Insurance TPA Pvt Ltd
Vidal Health Insurance TPA Pvt Ltd
Anyuta Health Insurance TPA Pvt Ltd
East West Assist Insurance TPA Pvt Ltd
Medsave Health Insurance TPA Pvt Ltd
Genins India Insurance TPA Pvt Ltd
Alankit Insurance TPA Pvt Ltd
Health India Insurance TPA Pvt Ltd
Good Health Insurance TPA Pvt Ltd
Vipul Medcorp Insurance TPA Pvt Ltd
Park Mediclaim Insurance TPA Pvt Ltd
Safeway Insurance TPA Pvt Ltd
Anmol Medicare Insurance TPA Ltd
Grand Insurance TPA Pvt Ltd
Rothshield Insurance TPA Pvt Ltd
Ericson Insurance TPA Pvt Ltd
Health Insurance TPA of India Ltd
Vision E-Medi Solutions Insurance TPA Pvt Ltd



Health Insurance


Apollo Munich Health Insurance Company Limited
Star Health and Allied insurance Co Ltd
Future Generali India Insurance Company Ltd
Bajaj Allianz General Insurance Co Ltd
Cigna TTK
National Insurance Co Ltd
Iffco Tokio General Insurance Co Ltd
The New India Assurance Co Ltd
Reliance General Insurance Co Ltd
Reliance Health Insurance Co Ltd
United India Insurance Co Ltd
Royal Sundaram Alliance Insurance Co Ltd
Tata AIG General Insurance Co. Ltd.
Cholamandalam MS General Insurance Co Ltd
HDFC ERGO General Insurance Co Ltd
Universal Sompo General Insurance Co Ltd
Bharti AXA General Insurance Co Ltd
SBI General Insurance Company Ltd
MAX Bupa Health Insurance Company Ltd
Raheja QBE General Insurance Co Ltd
Religare Health Insurance Co Ltd
Liberty General Insurance
Rothshield Insurance TPA Pvt Ltd
Export Credit Guarantee Corporation of India Ltd. (ECGC)
Agriculture Insurance Co. of India Ltd.
Shriram General Insurance Company
Magma HDI General Insurance Company Limited
  • In the case of planned admissions, the patient needs to submit the preauthorization form to the TPA help desk at least 7 days prior to the date of admission.
  • The preauthorization form has two parts:
    • General Information – The first part of the form to be filled in by you (TPA Help Desk will assist you in case of any difficulty)
    • Medical information – The second part which is the treatment recommended for you has to be filled in and duly signed by the treating doctor.
  • The following documents are required to be submitted:
    • Insurance ID Card
    •  Admission Note
    • Any Relevant Investigations reports  supporting the diagnosis
    • Preauthorization  Form – duly filled up and signed by the treating doctor
    • Photo Id  and address proof of the patient
    • Recent passport size photo of the patient
    • Cancelled Cheque of the patient's account to process the refund
  • The TPA help desk will be sending these documents to your TPA/insurance company for further processing.
  • The TPA/insurance company can revert with either of the following:
    • Initial Approval – The same will be alerted to you by a phone call
    • Queries – Our team will get in touch with you to resolve the queries at the earliest. This will also be notified to you via a telephone call
  • In the case of emergency admission, it is our priority to start the patient treatment at the earliest.
  • The cashless process has to be initiated within 24 hrs of the admission.
  • The patient needs to pay a deposit at the time of admission (as per hospital policy based on a type of surgery or class of admission) and that will be refunded to the patient as per the hospital refund policy for the cashless patients.
  • TPA Help Desk will assist you in sending the duly filled pre-authorization form to the TPA / insurance company (along with relevant documents.)
  • The preauthorization form has two parts:
    • General Information – The first part of the form to be filled in by you (TPA Help Desk will assist you in case of any difficulty)
    • Medical information – The second part which is the treatment recommended for you has to be filled in and duly signed by the treating doctor.
  • Along with this additional documents are required to be submitted which are as follows:
    • Insurance ID Card
    • Any Relevant Investigations reports  supporting to the diagnosis if any
    • Preauthorization  Form – duly filled up and signed by the treating doctor
    • Photo Id  and address proof of the patient
    • Recent passport size photo of the patient
    • Cancelled Cheque of the patient's account to process the refund
  • The TPA help desk will be sending these documents to your TPA/insurance company for further processing.
  • The TPA/insurance company can revert with either of the following:
    • Initial Approval – The same will be alerted to you via a phone call.
    • Queries – Our team will get in touch with you to resolve the queries at the earliest. This will also be notified to you via a phone call.
  • If the patient bill exceeds the sanctioned amount, an estimate for the additional amount will be sent through the TPA helpdesk to the TPA / insurance company. However, if no enhancement is received from the TPA / insurance company, the patient will have to pay for the bill amount over and above the sanctioned amount.
  • If the TPA / Insurance Company intimates that the Sum insured is exhausted the patient needs to pay for the bill amount above the exhausted amount. The discharge process will however be as a TPA/ Insurance patient.
  • Receiving an authorization letter for Cashless hospitalization is only tentative. The TPA/Insurance Company can deny the claim for any reason during the course of treatment or after a patient is discharged. The patient will be responsible for payment of the hospital bills, as per the undertaking which the hospital collects at the time of registration under respective TPA / Insurance Company.
  • At all stages the information will be shared with you via phone calls
  • On the day of discharge the patient’s final bill and discharge summary will be sent to the respective TPA / Insurance Company.
  • On receiving the final approval the patient’s discharge will be completed after taking the refundable deposit on sanctioned amount as a security deposit until the hospital receives complete payment from the TPA / insurance company
  • Patient is required to pay for all non-payable expenses as their policy does not cover the non-payable expenses
  • No original documents or reports of the hospitalization will be given to patient(except films), since these are to be sent by the hospital to TPA / insurance company along with the final bill for the final payment.
  • At the time of Discharge, the patient can collect a copy of final bill from the Billing department.
  • A photocopy of all the reports along with any pending reports can be collected from the Report Counter after 7 days of discharge.
  • After Final payment from the TPA / insurance company the patient will be intimated by phone call.

On denial of Cashless hospitalization by the TPA / insurance Company the patient will be treated as a cash paying patient.

The TPA/ insurance company may not grant approval due to any of the following reasons:

  • If the ailment for which patient is hospitalized is not covered in their policy.
  • If the provided medical details of the patient is insufficient to approve the request, though most of the time the TPA / insurance company will request the hospital if additional information is needed.
  • If the patient has exhausted the sum assured for that year
  • In these cases the patient has to make the necessary payments as per hospital policy and go for reimbursement.

Contact with us


Our Address

Siddhi Apartments, Near Vijay Gardens,
Ghodbunder Road, Thane West


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