TPA & Corporate Services

TPA & Corporate Services

We are empanelled with the top insurance Companies & TPA’s for providing Cashless claims. At The Ford Hospital we understand certain procedures can be expensive and without the cover of a health insurance it would be difficult to be met out of personal incomes. To ensure that each of our patients have a seamless and efficient approval mechanism, we work with a wide range of health insurance partners. This partnership allows patients to have a clear understanding of the coverage, the criteria to be eligible for the cover and the quantum of coverage allowed.

 

Documents for Cashless Applications:

  • Medical Records Department Card (MRD No)
  • Identity & Address Proof of Patient
  • Pan Card & Address Proof of Policy Holder
  • Policy Copy or TPA card copy of current year
  • Investigation Reports for supporting diagnostics or any other hospitals related documents of present illness(Past records)

Cashless Insurance / Third Parties (Tpa’s)Available :

  • ADITYA BIRLA
  • MANIPAL CIGNA
  • FUTURE GENERALI
  • HDFC ERGO GENERAL INS.
  • HEALTH INSURANCE TPA
  • ICICI LOMBARD
  • LIBERTY GENERAL INS.
  • MD INDIA
  • PARAMOUNT (No Cashless -Oriental Ins.)
  • RELIANCE GENERAL INSURANCE
  • STAR HEALTH INSURANCE
  • UNITED HEALTH CARE
  • Park mediclaim Insurance Tpa Pvt. Ltd.
  • APOLLO MUNICH(HDFC ERGO HEALTH INS)
  • FAMILY HEALTH PLAN (No Cashless - TATA AIG & Kotak Insurance)
  • GOOD HEALTH PLAN LTD
  • HEALTH INDIA
  • HERITAGE
  • ICICI PRUDENTIAL
  • MAX BUPA
  • MEDI ASSIST
  • RAKSHA TPA
  • RELIGARE
  • SAFEWAY
  • VIDAL HEALTH
  •  

 

 

Procedures for Cashless Application:

  • If the patient is covered under Health Insurance in our empanelled list, she needs to contact at Cashless Insurance Desk situated in the ground floor.
  • For the Planned Admissions: Patient can apply for Cashless before 7days of admission.
  • For the Emergency Admissions: At the time of admission itself, patient can apply for cashless.
  • For Preauthorization application, the patient needs to bring copies of above mentioned documents
  • If the card or policy copy is valid, a Pre-authorization duly filled by the concerned doctor along with the copies of the above documents would be forwarded by E mail to the respective Insurance Company / TPA for initial approval.
  • If it has been approved by Insurance companies/TPA, IP Credit will be sanctioned till the time of discharge.
  • If patient needs any other procedure or surgeries, she needs to intimate Insurance Desk for Enhancement approval.
  • On the discharge day, In case, Insurance company approves only a part of the treatment expenses or rejects the entire claim, the patient /relative should pay the remaining amount and get discharged from the hospital immediately

Documents for Reimbursement Claim:

  • Claim Form –PART B filled by Hospitals authorities
  • Original Discharge Summary
  • Original Discharge Bills, Detailed Bill –break up, Receipts of payments
  • All Diagnostic Test reports
  • XRAY/CT/MRI Film –original
  • Implants/Stents sticker
  • KYC Details-Copy of Id Proof and Address proof & Bank details
  • Claim Form –PART A filled by policy holder

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