Home TPA TPA Do's & Don'ts

Do's & Don'ts

PDF

Do's
Pre - authorization form from the Insurance helpdesk 3 - 4 days prior to the admission for planned hospitalization should be obtained.
The treating doctor should fill the Pre - authorization form.
The pre - authorization approval at the Insurance helpdesk should be checked out within 24hrs.
Cashless treatment at the hospital can be availed after receipt of written authorization from TPA for the covered.
At the time of discharge leave all the entire original documents and signed claim form with the hospital.
In case of clarifications, the TPA office must be contacted
Payment to the hospital for the expenditure over and above the TPA- approved limit, or for treatments not covered under the package, must be made by the policyholder at his cost.

Don'ts
Admission at the hospital merely for investigation, evaluation or health check ups- will not be approved by TPAs.
Do not insist on admission on cashless basis at the Hospital without obtaining the pre -authorization approval from TPA.
Don't carry back any original documents at the time of discharge from the hospital, if the TPA approves your cashless claim.


The bottom-line is that before undergoing any treatment check all the facts with TPA's to avoid disappointment.


Want to know more or need assistance to select the best policy for your needs, fill up a simple form with QUICK APPLY and we shall revert to you with the best options available from the market!!!

Disclaimer: Please note that the information provided is collected from sources publicly available & we believe to be reliable. The website doesn’t warrant the accuracy, reliability & absolute information available on the website. Participation by site visitors or registered customers is on a voluntary basis. The policies are offered by various life Insurance & non-life insurance offering companies and eMediclaim does not seek to, either directly or indirectly, advise, offer, solicit or recommend that any person who is or proposes to become its member should purchase the Policy.
The logos displayed on this site in no way indicate tie up of the respective logo owners with eMediclaim Portal. or any affiliation what so ever between eMediclaim and respective logo owners. Should you have any objection to use of public information on this site, please contact us and we shall remove the content that you feel is not in public interest or has a copyright which prevents it to be displayed on eMediclaim.com website.

Insurance is the Subject matter of Solicitation.

 

Get FREE Quote

Quick Apply
Product
Name
Mobile +91
Email
City
I have read the Privacy Policy and agree to the Terms And Conditions

Partners

Alexa Status


Newsflash

Insurance Must for Foreign Students in Delhi University

Announcement by Delhi University Foreign Students Registry has declared that All the Foreign students must have some medical insurance, having evacuation clauses, before joining the University.

In a notification on DU website, students have been adviced to seek admission and provide medical insurance papers, to be eligible to pursue courses in India's premier university.