Cashless Policies  
     
  PROCEDURES FOR CASHLESS HOSPITALIZATION  
     
  Patient Insurance Information database  
  Patients with medical insurance who should undergo day care procedures like phaco emulsification cataract or any eye surgery requiring hospitalisation are registered for health insurance details. The details would include name, age, ID number, policy number, and nature of illness, diagnosis, treatment to be given and the estimated cost of the procedure or treatment with patient declaration of medical insurance of the respective insurance company.  
     
  Pre-Authorization Request  
  The clinical information of the patients along with their medical policy details are forwarded to the third party administrator either by fax or email, for the prior approval of patient’s treatment in our hospital. Necessary documents for the same are to be brought by the patient  
     
  Authorization  
  After the pre- authorization request has been sent to by the hospital to the TPA. For planned surgery or treatment the TPA must be approached 7 days in advance and the hospital treats the patients only after the approval has arrived from the TPA. In case of emergency the patients are admitted and the same will be informed to the TPA at the earliest.  
  Our medical team interacts and co ordinates with the TPA for further clarification and explanation. After the approval from the TPA the patient will be informed the same accordingly.  
     
  Treatment  
  Cashless hospitalization and treatment are provided to the patients only with the approval of the company. Patients should sign the necessary documents to facilitate claim processing for the hospital. Patients who don’t get approval due to some reasons stated by the insurance company are also treated under the general patient’s category without cashless hospitalization benefits and can claim benefits by re imbursement.  
     
  (Please note that the charges for Pre operative/post operative investigations, the pre operative and post operative medications are not included in the pre authorization.Lasers some injection procedures and ophthalmic investigations suchas FFA,OCT,B scan,A scan,Perimetry etc are also not sactioned by TPA )  
     
  List of affiliated TPAs:  
 
•
 MEDI-ASSIT INDIA PVT LTD  
 
•
 RAKSHA TPA PVT LTD  
 
•
 TTK HEALTH CARE SERVICES  
 
•
 DHS HEALTH CARE SERVICES  
 
•
 MD INDIA HEALTH CARE SERVICES (TPA) PVT LTD  
 
•
 FHPL  
 
•
 MEDSAVE  
 
•
 I HEALTH CARE TPA  
 
•
 CHOLAMANDALAM  
 
•
 E-MEDITECH SOLUTIONS PVT LTD  
 
•
 GENIS INDIA PVT LTD  
 
•
 PARAMOUNT HEALTH CARE SERVICES PVT LTD  
 
•
 BAJAJ ALLIANCE PVT LTD  
 
•
 STAR HEALTH INSURANCE PVT LTD  
 
•
 HEALTH INDIA  
       
       
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