corporate services

Intimation Procedure
In case of Hospitalization you can intimate to insurance company just by filling up the following columns

Claim Intimation
Policy Holder Name :
Paitent Name :
Policy Number :
Insurance Company Name :
Hospital Name :
Hospital Address :
Date of Admission : dd/mm/yyyy
Cause of Hospitalization :
TPA / Company
   

LIST OF THE DOCUMENTS : (All ORIGINALS ARE MUST IN CASE OF REIMBERSTMENT)

  1. Intimation to assistance (TPA with in 24 hrs)
  2. Claim form duly signed & filled in all aspects
  3. Policy Copy
  4. Doctor’s advice report / First consultation report.
  5. Discharge certificate / card
  6. Original bills / Receipts / Prescriptions
  7. Daignostic reports / Lab Reports / X ray Films / Sonography reports,
  8. Doctors consultaion fees.
  9. Preserve all original bills / prescriptions

Claim Procedure includes cashless and reimbursement
Go for cashless facility first, if it doesn't work use reimbursement procedure.

Cashless:
Approach to accounts department of the hospital. Confirm the hospital is in network or not. If yes then provide them, policy copy / cashless card. Hospital will approach to TPA of that Insurer. Preauthorization form will be filled up and send to TPA. Within 24 hrs you will get the approval of cashless from TPA / Cashless department.
Reimbursement:
Intimation to TPA is must within 48 hrs. If hospital is under non-network or your cashless has been rejected then collect all the ORIGINAL documents as per list provided. Forward all required documents to TPA within 15 days of discharge.