Mediclaim

  • HDFC ERGO GENERAL INSURANCE CO. LTD
  • HERITAGE HEALTH TPA PVT. LTD
  • CARE HEALTH INSURANCE LTD - RELIGARE HEALTH INSURANCE COMPANY LIMITED
  • CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LTD
  • FAMILY HEALTH PLAN (TPA) LTD.
  • FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED
  • GENINS INDIA INSURANCE TPA LTD
  • HEALTH INDIA TPA SERVICES PVT. LTD.
  • HEALTH INSURANCE TPA OF INDIA LIMITED
  • IFFCO TOKIO GENERAL INSURANCE COMPANY LIMITED
  • NIVA BUPA ( FORMALY KNOWN AS MAX BUPA )
  • MD INDIA HEALTHCARE SERVICES (TPA) PVT. LTD.
  • MEDIASSIST INDIA TPA PVT. LTD.
  • MEDSAVE HEALTH INSURANCE TPA LIMITED
  • PARAMOUNT HEALTH SERVICES (TPA) PVT. LTD.
  • RAKSHA TPA
  • RELIANCE GENERAL INSURANCE COMPANY LIMITED
  • STAR HEALTH AND ALLIED INSURANCE CO. LTD.
  • UNIVERSAL SOMPO GENERAL INSURANCE CO. LTD  ( IPD)
  • BAJAJ ALLIANZ GENERAL INSURANCE COMPANY
  • ADITYA BIRLA HEALTH INSURANCE COMPANY LIMITED (NEW)
  • SAFEWAY INSURANCE TPA PVT LIMITED
  • NHPC
  • AIRPORT AUTHORITY OF INDIA
  • BHUTAN NATIONAL BANK
  • AMALGMATED PLANTATION
  • BHARAT PETROLEUM CORPORATION LTD. (BPCL) (CASH PAYMENT BASIS)
  • NUMALIGARH REFINERY LTD.
  • POWER GRID CORPORATION
  • NTPC
  • GOODRICKE GROUP OF COMPANIES
  • INDIAN OIL CORPORATION OF INDIA
  • IRCON (CASH BASIS)
  • INCOME TAX
  • MONTANA VISTA
  • CISF (AAI)
  • CCN
  • SIKKIM GOVERNMENT
  • WEST BENGAL HEALTH SCHEME
  • SWASTHA SATHI
  • MMSSY
  • GARIB JANAKALYAN PRAKOSTA

Policies & Guidelines

Getting Pre – Authorization approval from  your TPA is a  must before you can get ” Cashless” Admission to the Hospital.

It is therefore necessary for you to approach our Insurance desk as soon as your consultant has advised admission. It is recommended that you apply your pre-authorization from your TPA at least 4 to 7 days prior to your date of admission.

Insurance desk will give you a pre-authorization form, which you will have to get filled up from your consultant and return to your Insurance desk. It is strongly advised that you directly interact with your consultant in this regard. This will be send to your TPA for approval.

You will get ‘Cashless’ admission only after receipt of the approval from your TPA (except in Emergencies*). This process may take 24 to 48hrs depending upon your TPA.

*In an emergency we will admit the patient as a ‘Cash Patient’ until approval is received, a deposit amount will need to be paid. In case of surgical admission, full OT amount needs to be paid in cash. If approval amount is less than the surgery amount then the difference amount needs to be paid in cash. The deposit amount will then be returned at the time of discharge after deducting the non-medical and inadmissible expenses, which are governed by the terms of your provider.

Steps to a hassle free cashless hospitalisation

Always keep in touch with the insurance desk and corporate desk. Kindly complete the formalities as given by the insurance desk at the front office. Our corporate desk will assist you through the pre – authorization procedure.

After receiving your ‘cashless pre- authorization request form, your TPA can raise queries. To answer these we will require your complete corporation.

Since approvals of claims are entirely at the discretion of the TPA/Insurance Companies, quarries may be raise by them. These are to be replied by the hospital on merit. In doing so, you may also be asked for additional information for securing approval(s). This is a time consuming process and hospital is only a facilitator. Your patience in this regard is appreciated.

You will be asked to submit necessary documents which, you are requested to submit at the earliest to the Insurance Department.

For Further Query Contact our Corporate Help Desk – 0353 – 6603000/6603131 or mail us at writetous.slg@neotiahealthcare.com