New India Assurance Co. Ltd.

Oriental Insurance Co. Ltd.

National Insurance Co. Ltd.

United India Insurance Co. Ltd.

The TPA will issue you an identity card which will indicate the name of your TPA.

On your insurance policy, on the lower left hand corner of the policy, the name of the TPA will be printed.

Your insurance agent will be able to inform you accurately.

For all elective / planned admissions, Cashless approval should be obtained from the TPA atleast 2 days prior to the date of admission.

Marketing department will assist you in faxing the duly filled pre authorization form of the TPA (along with the latest policy copy and positive investigation reports.)

At the time of admission, even if the TPA has approved cashless, a refundable security deposit of Rs. 5000/- is to be paid by the patient.

Incase the bed class / room specified in the authorization letter is not available, the patient will be admitted in the higher or lower class as per choice of patient. In case of admission in the higher class, patient will have to pay the difference in the charges from the date of admission.

The patient must give a proper and true medical history to the doctor at the time of filling in the pre authorization form, since any discrepancy may result in the denial of the claim and cancellation of the approval.

In case the patient is transferred to ICU/ICCU/ Recovery room and wants to retain the original bed then patient will have to keep an additional security deposit, depending on the class and number of days in ICU/ICCU/Recovery Room, as the TPA does not pay for dual occupancy.

Receiving an authorization letter for Cashless benefit is only tentative. If the claim is denied for any reason by the insurance company during the course of treatment or after patient is discharged, 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.

If the patient bill exceeds the sanctioned amount, an estimate for the additional amount will be sent through the marketing department to the TPA. However, it is primarily the responsibility of the patient / relative to keep track of the bill. If no enhancement is received from the TPA, the patient will have to pay for the bill amount over and above the sanctioned amount by the TPA.

The hospital will retain Rs. 5000/- refundable deposit for every one lakh of the sanctioned amount as deposit until the hospital receives complete payment from the TPA. On settlement of payment from the TPA, the patient will be intimated by SMS regarding procedure of refund of deposit.

The hospital shall collect payment for all exclusions / non-medical expenses / surcharge, if they are not covered by TPA at the time of discharge.

No original hospital document’s or reports will be given to patient, since these are sent by the hospital to TPA along with the bill for reimbursement. Xerox copies of the same can be taken by the relative at his own cost.

At the time of Discharge, the patient can collect a copy of detailed bill / summary from the accounts department.

Any pending reports or films should be collected from the marketing department within 10 days of discharge.