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 all non-medical and inadmissible expenses.
Important: If you don’t receive approval for cashless claims, you can submit claim documents post-discharge to the insurance provider or TPA for reimbursement.