TPA Services
Insurance Companies
PROCEDURE FOLLOWED AT HITECH HOSPITAL
Kindly contact the corporate office at the time of admission, in case you want to avail cashless benefit.
Carry a copy of all the required documents so that we can assist you in an efficient manner.
Kindly go through the workflow of the entire procedure so that you are aware of the process. You will receive step by step intimation from our executives.
A copy of the list of non-medical items as per IRDA which has to be paid by you at the time of discharge is available.
In case of any queries you can always approach our executives at the corporate office.
CORPORATE OFFICE WORK FLOW
Acceptance of TPA / Corporate and handing over the form with assistance for filling up.
Patient counselling regarding insurance process flow.
Collecting related ID copies required by the TPA/ corporate.
Declaration/Consent form assistance/Hospitalization estimation.
Entering in summary sheet (seal and name of TPA).
Constant follow up with the ward for updated pre-authorization to be submitted for processing.
Sending pre-authorization to the TPA.
Following up with the TPA.
Answering queries and following up with the ward or Doctor.
Validating and sending answered queries to the TPA.
Informing patients the status of the pre-authorization request.
Informing ward regarding the status of the pre-authorization.
Enhancement information if needed.
Sending enhancement and following up with TPAs.
Informing patients & ward in-charges the status of the enhancement.
Sending final hospital Bill at the time of discharge.
After final approval from TPA discharge patient.
DOCUMENT CHECK-LIST
Documents Required for Company Patients:
Referral letter from the company.
Employee ID.
Photo ID proof of the Patient like: (Voter ID/ Pan Card/ Passport/ Aadhar Card/DL).
Documents Required for Insurance Corporate Policy: (xerox of all below documents)
E-Card/Insurance card of the Patient.
Employee ID Card.
Photo ID proof of the Patient like: (Voter ID/ Pan Card/ Passport/ Aadhar Card/DL).
Documents Required for Insurance Individual Policy: (xerox of all below documents)
Medi-claim Card of the Patient.
Current Year Policy Copy.
Photo ID proof of the Patient like: (Voter ID/ Pan Card/ Passport/ Aadhar Card/DL).
Documents Required for MJPJAY & PMJAY scheme
Aadhar card.(original)
Ration card. (original)
Documents Required for Police Plan: (xerox of all below documents)
E-Card/Insurance card(Maharashtra police kutumba aarogya yojana card) of the Patient and employee.
Employee Aadhar Card.
Photo ID proof of the Patient like: (Voter ID/ Pan Card/ Passport/ Aadhar Card/DL).
Member verification form, Dependency form, Family details form,etc.
Employee Duty ID Card.
All documents should be attested by concern department.