• Anmol Medicare (TPA) Ltd.
  • Bajaj Allianz General
    Insurance Company Limited
  • Dedicated Healthcare Services India Pvt.Ltd.
  • E-Meditek (TPA) Services Ltd.
  • Star Health and Allied Insurance Co. Ltd.
  • ICICI Lombard General Insurance Co. Ltd.
  • HDFC ERGO General Insurance Co Ltd.
  • MDIndia Healthcare Services (TPA) Pvt. Ltd.
  • Medi Assist India TPA Pvt. Ltd.
  • Medicare TPA Services (I) Pvt. Ltd.
  • Medsave Healthcare (TPA) Limited.
  • Paramount Health Services (TPA) Pvt. Ltd.
  • Park Mediclaim TPA Pvt. Ltd.
  • UnitedHealthcare Parekh TPA Pvt. Ltd.
  • Rothshield Healthcare (TPA) Services Ltd.
  • TTK Healthcare TPA Pvt. Ltd.
  • The New India Assurance Co. Ltd
  • Future Generali.
  • Health India.
  • Max Bupa.
  • Raksha TPA Pvt. Ltd.
  • Vipul MedCorp TPA.
  • Oriental Insurance Co. Ltd.
  • National Insurance Co. Ltd.
  • United India Insurance Co. Ltd.
  • Safeway TPA Services.
  • Family Health Plan Ltd.
  • Genins India TPA Ltd.
  • Good Health Plan Ltd.
  • Heritage Health TPA Pvt. Ltd.
  • Reliance General Insurance Co Ltd.
  • L&T General Insurance.
  • Religare Health Insurance
  • Universal Sompo GIC. Ltd.
  • Bajaj Allianz Life Insurance Company Ltd
  • Bajaj Allianz General Insurance Company Limited
  • Birla Sun Life Insurance Company Ltd
  • Cholamandalam.MS General Insurance
  • Dedicated Health Care Services
  • HDFC Mutual Fund,Investor Service Centre
  • HSBC Electronic Data Processing Ind Pvt Ltd
  • International Sos Services India Pvt Ltd
  • The Medicare,TPA Service(I) Pvt Ltd
  • National Insurance Company Limited
  • Oriental Insurance Co.Ltd
  • Paramount Healthcare Management Ltd
  • Raksha TPA Pvt Ltd
  • United India Insurance Company Ltd
  • Waltair Insurance Services Pvt Ltd
  • Allahabad Bank
  • East West Assist Pvt Ltd
  • E-Mediteek Insurance
  • Family Health Plan Ltd
  • Good Health Plan Ltd
  • Health India
  • Heritage Health Services
  • MDIndia
  • Medi Assist India Pvt Ltd
  • Med-Seva
  • New India Assurance Ltd
  • Tata Power Ltd
  • Union Bank of India
  • United Health Care (P) Ltd
  • Unison Health Care
The Insured is entitled for cashless access at the provider for all such ailments which are covered under the medical / health insurance policy sum insured limit / sub limits i.e. not specifically excluded under the policy.

Policies & Procedures

  • Pre-Admission & Admission Requirements

    • Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorisation letter (RAL)
    • The RAL shall be sent electronically along with all relevant detail in the electronic form to the 24 hour authorisation / cashless department of the insurer or of its representative TPA's medical team may consult the treating physician and the insured.
    • The insurer's or its representative TPA's medical team may consult the treating physician or the insured if necessary.
    • If the treating physician of the provider identifies any disease or ailment as pre-existing the treating physician shall record it and also informed the insured immediately.
    • In the case where the symptoms appear vague/ no effective diagnosis is arrived at the medical team of the insurer or its representative TPA may consult with treating physician / insured if necessary.
  • Getting discharged (Patient shall be required to)

    The following documents shall be included in the list of documents to be sent along with the claim form to the insurer or its representative TPA.

    • original Pre authorization request form
    • Copy of authorization letter
    • Original investigation report
    • All original prescription & pharmacy receipt etc. where the insured requires the discharged card / reports or other relevant medical documents, photocopies of the same can be handed over at his or her own expenses and these have to be clearly originals are submitted to insurer
  • Emergency Hospitalization

    In case of Emergencies also, procedures is same as follows

    • Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorisation letter (RAL)
    • The RAL shall be sent electronically along with all relevant detail in the electronic form to the 24 hour authorisation / cashless department of the insurer or of its representative TPA's medical team may consult the treating physician and the insured.
    • The insurer's or its representative TPA's medical team may consult the treating physician or the insured if necessary.
    • If the treating physician of the provider identifies any disease or ailment as pre-existing the treating physician shall record it and also informed the insured immediately
    • In the case where the symptoms appear vague/ no effective diagnosis is arrived at the medical team of the insurer or its representative TPA may consult with treating physician / insured if necessary 6.However, any life saving, limb saving, sight saving, emergency medical attention cannot be withheld or delayed for the purpose of waiting for authorization.
    • Provider meanwhile may consider treating him by taking a token of deposit or as per their norms.
    • Once authorization is issued after ascertaining the coverage. Provider shall refund the deposit amount to the insured.

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