Patient Process

• 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, alternately the Doctor on our TPA desk can help you for the same. Kindly carry all reports & consultation papers for the same.

The following documents are required to be submitted :

• Insurance ID Card.
• Admission Note and all Consultation papers.
• All 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 and the Primary insured.
• Recent passport size photo of the patient - wherever applicable.
• 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 help desk 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.