We provide cashless facility to the Mediclaim Policyholders. Having tie-up with major TPAs appointed by all insurance companies.
- RAKSHA TPA PVT. LTD.
- PARK MEDICLAIM CONSULTANTS PVT.LTD.
- ICICI PRUDENTIAL LIFE INSURANCE CO. LTD.
- ICICI LOMBARD GENERAL INSURANCE CO. LTD.
- HERITAGE HEALTH SERVICES PVT. LTD.
- FOCUS HEALTHCARE PVT. LTD.
- M.D. INDIA HEALTHCARE SERVICE PVT.LTD.
- EAST- WEST ASSIST PVT. LTD.
- VIPUL MEDCORP TPA PVT. LTD.
- ALANKIT HEALTH CARE LTD
- GENINS INDIA LTD.
- MEDICARE TPA
- SAFEWAY TPA SERVICES PVT.LTD.
- MEDI ASSIST INDIA TPA PVT. LTD.
- MOTHER DAIRY
- DEDICATED HEALTHCARE SERVICES (INDIA)PVT. LTD. (DHS)
Who are Third Party Administrators (TPAs)?
Third Party Administrators are licensed service providers appointed by the Insurance Regulatory and Development Authority (IRDA) to facilitate medical insurance claims on behalf of patients.
What is a cashless facility or Cashless hospitalization?
In cases of planned hospitalisations, the medical policyholder provides the Third Party Administrator (TPA) with the necessary medical details in advance. Once the pre-authorisation is issued, the TPA guarantees payment on the patients’ behalf. The patient then need not pay for the medical service. In emergency cases, the pre-authorisation can be provided within 24 hours of hospitalisation. The medical expense, thus incurred, shall be settled by the company directly with the hospital. The Cashless claim facility can be obtained only at the hospital network the service provider has a tie-up with.
How does a patient know if they qualify for the cashless facility?
Patients must confirm their TPA is affiliated to the Hospital. If so, all medical details (admission request note) must be provided to the TPA. Upon receipt of the request, the TPA provides pre-admission authorisation on a case-to-case basis.
When do patients have to file a claim?
The patient only needs to file a claim if the cashless facility is not available at the Hospital. Original copies of all relevant medical documents must be submitted with the claim form.