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PLEASE FAX/SCAN PAGE 1 & 2 ONLY REQUEST FOR CASHLESS Hospitalization FOR MEDICAL INSURANCE POLICY (To be filled in block letters)DETAILS OF THE THIRD PARTY ADMINISTRATOR/INSURER Name of the Insurance
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How to fill out request for cashless hospitalisation

How to fill out request for cashless hospitalisation
01
Firstly, gather all the necessary documents required for cashless hospitalization such as ID proof, health insurance card, and doctor's prescription.
02
Contact your health insurance provider to know the specific procedure for filling out the request for cashless hospitalization.
03
Fill out the request form with accurate and complete information including your personal details, policy number, hospital details, and the reason for hospitalization.
04
Attach all the required documents along with the request form.
05
Submit the filled-out form and documents to your health insurance provider either through email, fax, or in person.
06
Wait for the approval confirmation from your health insurance provider.
07
Once the request is approved, proceed with the hospitalization according to the instructions provided by your health insurance provider.
08
During the hospitalization, follow any additional procedures or requirements communicated by your health insurance provider.
09
After the hospitalization, provide all the necessary discharge documents and bills to your health insurance provider for reimbursement, if applicable.
Who needs request for cashless hospitalisation?
01
Anyone who has a health insurance policy with coverage for cashless hospitalization can make a request for cashless hospitalization.
02
Individuals who prefer not to pay upfront for their medical expenses and want them to be directly settled by the health insurance provider can opt for cashless hospitalization.
03
People who have planned hospitalizations or require medical treatments covered under their health insurance can benefit from requesting cashless hospitalization.
04
Persons with chronic illnesses or pre-existing conditions that require frequent hospital visits can utilize cashless hospitalization to simplify the payment process.
05
Those who want to have a hassle-free hospitalization experience and avoid the burden of paying large medical bills themselves can choose cashless hospitalization.
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What is request for cashless hospitalisation?
Request for cashless hospitalisation is a formal application submitted to an insurance company by a policyholder or healthcare provider, seeking approval for medical treatment expenses to be covered directly by the insurance company without requiring the policyholder to pay upfront.
Who is required to file request for cashless hospitalisation?
The policyholder or the healthcare provider is required to file the request for cashless hospitalisation, depending on the terms of the insurance policy.
How to fill out request for cashless hospitalisation?
To fill out a request for cashless hospitalisation, the policyholder or healthcare provider must provide all necessary details of the patient, treatment required, estimated expenses, and any other information requested by the insurance company.
What is the purpose of request for cashless hospitalisation?
The purpose of request for cashless hospitalisation is to streamline the process of accessing medical treatment by eliminating the need for the policyholder to pay upfront and seek reimbursement later.
What information must be reported on request for cashless hospitalisation?
The request for cashless hospitalisation must include details of the patient, treatment required, estimated expenses, treating healthcare provider, insurance policy details, and any other information requested by the insurance company.
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