Procedure for Reimbursement Claims

To avail inpatient hospitalization services, you can go to any hospital of your choice, either a hospital on our network or a hospital outside the network. The difference between the two being that TPA can authorize for "Cashless Service" in the hospital on our network whereas you will have to settle all the bills in the hospital which is outside our network.

However you have to follow the procedures listed below to get the services in different situations.

A) Emergency hospitalization

Step 1. Take admission into the hospital.

Step 2. As soon as possible, inform TPA about the hospitalization.

Step 3. At the time of discharge, settle the hospital bills in full and collect all the bills, documents and reports.

Step 4. Lodge your claim with TPA for processing and reimbursement.

B) Planned hospitalization

Step 1. Inform TPA about the planned hospitalization.

Step 2. Get admitted into the hospital.

Step 3. At the time of discharge, settle the hospital bills in full and collect all the bills, documents and reports.

Step 4. Lodge your claim with TPA for processing and reimbursement.

"Please note: failure to intimate TPA as soon as the claims occur may invalidate your claim."