Mediclaim

  • Bajaj allianz general insurance company
  • Family health plan (tpa) ltd.
  • Max bupa
  • Medicare tpa services(i) pvt. Ltd.
  • Paramount health services (tpa) pvt. Ltd.
  • Reliance general insurance company limited
  • Religare healthinsurance company limited
  • Star health and allied insurance co. Ltd.
  • Health india tpa services pvt ltd
  • Medi assit india tpa pvt ltd
  • MD India tpa services
  • Raksha tpa pvt. Ltd.
  • Cholamandalam MS
  • Universal sompo general insurance co. Ltd.
  • NHPC Limited
  • INTAS Pharmaceuticals LTD
  • Penden Cement Authority Limited
  • BSNL
  • SSB
  • Airport Authority Of India
  • Tea Association Of India
  • NTPC LTD.
  • Bhutan National Bank
  • Hindustan Petroleum Corporation Ltd.(HPCL)
  • ABB
  • Powergrid Corporation Of India
  • CPWD
  • HIND TEA CO.
  • Amalgamated Plantation (IP)
  • Amalgamated Plantation (OP)
  • MMJRK-SIKKIM
  • Bharat Petroleum Corporation Ltd. (BPCL)
  • Phpa I & Phpa Ii (Punatsangchu Hydroelectric Project Authority)
  • Numaligarh Refinery Ltd.
  • Nabard (National Bank For Agriculture & Rural Development)
  • AIR INDIA
  • INCOME TAX
  • Royal Insurance Corporation Of India
  • Central Industrial Security Force
  • Indian Institute Of Chatered Accountant Of India
  • Royal Insurance Corporation Of Bhutan
  • Food Corporation Of India
  • Ircon International Private Limited
  • State Bank Of India
  • WEST BENGAL HEALTH SCHEME
  • GOVT. OF SIKKIM

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