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REQUEST FOR CASHLESS Hospitalization FOR HEALTH INSURANCE POLICY PART C (Revised) (TO BE FILLED IN BLOCK LETTERS)DETAILS OF THE THIRD PARTY ADMINISTRATOR/ INSURER/ HOSPITAL Name of TPA/insurance company

How to fill out request for cashless hospitalisation

How to fill out request for cashless hospitalisation

1. To fill out a request for cashless hospitalisation, follow these steps:
2. Contact your insurance provider and inform them about your intention to seek cashless hospitalisation.
3. Provide the necessary details such as your policy number, name, and contact information.
4. Verify if the hospital you plan to visit is in the network of hospitals approved by your insurance provider for cashless treatment.
5. Obtain the pre-authorization form from your insurance company or download it from their website.
6. Fill out the form accurately, providing all the required information such as your personal details, diagnosis, estimated treatment cost, and treating doctor's information.
7. Attach all the relevant documents such as medical reports, prescriptions, and doctor's recommendations.
8. Submit the request to your insurance company either through email, fax, or the designated online portal.
9. Wait for the approval from your insurance provider, which usually takes a few days.
10. Once the request is approved, you can proceed with your hospitalisation without the need for upfront cash payment, as the insurance company will directly settle the bills with the hospital.

Who needs request for cashless hospitalisation?

1. Anyone who has a health insurance policy and intends to seek hospitalisation can benefit from requesting cashless hospitalisation.
2. Individuals who want to avoid the hassle of making upfront payments and reimbursement claims can opt for cashless hospitalisation.
3. It is especially useful for people who might not have significant savings or readily available funds to cover expensive medical treatments.
4. Cashless hospitalisation is also beneficial for emergency cases where immediate hospital admission is required, and arranging cash payment may cause delays.
5. However, it is important to note that cashless hospitalisation is subject to the terms and conditions of your health insurance policy, and not all treatments or hospitals may be eligible for cashless facility. It is recommended to check with your insurance provider for specific coverage and network hospitals.

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What is request for cashless hospitalisation?

Request for cashless hospitalisation is a process where an insured person requests their insurance provider to directly settle the medical bills with the hospital without having to make any payment upfront.

Who is required to file request for cashless hospitalisation?

The insured person or their authorized representative is required to file the request for cashless hospitalisation.

How to fill out request for cashless hospitalisation?

To fill out the request for cashless hospitalisation, the insured person needs to provide necessary details such as policy number, patient information, treatment details, and estimated cost of treatment.

What is the purpose of request for cashless hospitalisation?

The purpose of request for cashless hospitalisation is to ensure that the insured person can avail medical treatment without having to worry about the payment at the time of discharge from the hospital.

What information must be reported on request for cashless hospitalisation?

The request for cashless hospitalisation must include details such as policy number, patient's name, age, diagnosis, treatment required, estimated cost, treating doctor's details, and hospital details.