TPA and Insurance

Sharad Orthopedic Hospital Centre has tie up for cashless facility with the following TPAs and Insurance companies.

TPA

Vidal Health TPA Pvt. Ltd.	Medi Assist TPA
Health India ( Bhaichand Amoluk Consultancy)	Volo Health Insurance TPA
MD India Health Care Services

Insurance Companies (Gipsa PPN)

New India Insurance Co. Ltd.	Oriental Insurance Co ltd.
United Insurance Co. Ltd.	National Insurance Co.Ltd.

Do’s	Don’ts
Obtain pre-authorization form the TPA counter, located on the first floor of the hospital, 3 – 4 days prior to the admission for planned hospitalization. Please carry the following documents when you come to obtain the preauthorization for cashless facility. I card issued by the TPA / Insurance company One photo I.D. Current year policy papers. Previous investigations / Prescriptions / Other details regarding any treatment may be required depending upon the ailment for which cashless is being sought. Pre-authorization form is to be filled in by treating doctor. Check about the pre-authorization approval at the TPA counter within next 24hrs. You can avail cashless treatment at the hospital after receipt of written authorization from TPA for the covered ailment. Leave back all the original documents and signed claim form with the hospital at the time of discharge. Contact TPA counter in case of any query. The policy holder has to bear the expenses which are not covered under the terms and conditions of the policy.	Don’t insist upon admission at the hospital merely for investigation, evaluation or Health check-up as these are not approved by TPAs. Don’t insist on cashless facility for planned admissions 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 your cashless is approved by the TPA. Don’t forget to sign your bill of hospitalization and your discharge card. The investigators from the TPA / Insurance company often visit the hospital to check on the patient anytime till the final sanction is received. Don’t insist on leaving the hospital prior to receipt of inal sanction from the insurance company / TPA.

Do’s

Don’ts

Obtain pre-authorization form the TPA counter, located on the first floor of the hospital, 3 – 4 days prior to the admission for planned hospitalization.
Please carry the following documents when you come to obtain the preauthorization for cashless facility.
1. I card issued by the TPA / Insurance company
2. One photo I.D.
3. Current year policy papers.
4. Previous investigations / Prescriptions / Other details regarding any treatment may be required depending upon the ailment for which cashless is being sought.
Pre-authorization form is to be filled in by treating doctor.
Check about the pre-authorization approval at the TPA counter within next 24hrs.
You can avail cashless treatment at the hospital after receipt of written authorization from TPA for the covered ailment.
Leave back all the original documents and signed claim form with the hospital at the time of discharge.
Contact TPA counter in case of any query.
The policy holder has to bear the expenses which are not covered under the terms and conditions of the policy.

Don’t insist upon admission at the hospital merely for investigation, evaluation or Health check-up as these are not approved by TPAs.
Don’t insist on cashless facility for planned admissions 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 your cashless is approved by the TPA.
Don’t forget to sign your bill of hospitalization and your discharge card.
The investigators from the TPA / Insurance company often visit the hospital to check on the patient anytime till the final sanction is received.
Don’t insist on leaving the hospital prior to receipt of inal sanction from the insurance company / TPA.

TPA

Insurance Companies (Gipsa PPN)

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