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PLEASE FAX / SCAN PAGE 1 ONLY REQUEST FOR CASHLESS Hospitalization FOR MEDICAL INSURANCE POLICY Name of the Hospital Location Hospital ID Hospital Fax No. Hospital Phone No DETAILS OF THIRD PARTY
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How to fill out irda - pre auth:

01
Find the irda - pre auth form, which is usually available from your insurance company or can be downloaded from their website.
02
Fill in your personal details accurately, including your name, contact information, and policy number.
03
Provide the details of the medical treatment or procedure that requires pre-authorization, including the name of the hospital or healthcare provider, the date of the treatment, and the expected cost.
04
Attach any supporting documents that may be required, such as medical reports, doctor's prescriptions, or any other relevant paperwork.
05
Review the form thoroughly to ensure all the information is accurate and complete.
06
Submit the filled out irda - pre auth form to your insurance company as per their instructions, either by mailing it or submitting it online through their portal.

Who needs irda - pre auth?

01
People who have health insurance policies that require pre-authorization for certain medical treatments or procedures.
02
Individuals who are planning to undergo a medical treatment or procedure that is not covered under their policy's cashless facility.
03
Patients who want to avail of the insurance coverage for their planned medical treatment and want to ensure that the cost will be reimbursed by the insurance company.
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irda - pre auth is a process where the insured person or a hospital requests prior approval from the Insurance Regulatory and Development Authority of India (IRDAI) before undergoing a medical treatment.
The insured person or the hospital where the medical treatment will be conducted is required to file irda - pre auth.
To fill out irda - pre auth, the insured person or the hospital needs to provide relevant medical information, treatment details, and submit the request to IRDAI for approval.
The purpose of irda - pre auth is to ensure that the medical treatment being requested is necessary and approved by the regulatory authority before proceeding with the treatment.
The information that must be reported on irda - pre auth includes patient details, medical condition, treatment required, estimated cost, and any other relevant information requested by IRDAI.
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