What is the cashless claims process?
You will have to avail treatment at a network hospital for cashless claims. However, your treatment would have to be pre-authorised by the insurance provider or its authorised Third Party Administrator (TPA). Here’s how the process works for cashless claims:
- You will have to download the cashless request form available with the network hospital and TPA, fill it and send it to the insurance provider or TPA for authorisation.
- After verifying your cashless request form and the related medical information from you or the network hospital, the insurance provider or the TPA will issue a pre-authorisation letter to the concerned network hospital.
Note: The insurance provider or the TPA will not issue the pre-authorisation letter if you or the hospital is unable to provide relevant medical details. - At the time of discharge, the insured person will have to verify and sign the discharge papers, and pay for non-medical and inadmissible expenses.
Important: If you don’t receive an approval for cashless claims, you can submit claim documents after the hospital discharge to the insurance provider or TPA for reimbursement.