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Request for Cashless Hospitalization for Health Insurance Policy Part C Details of the Third Party Administrator/ Insurer/ hospital: (To be filled in block letters) a)Name of insurance company:N I
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How to fill out request for cashless hospitalisation

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How to fill out request for cashless hospitalisation

01
Step 1: Contact your insurance provider to understand the process and requirements for cashless hospitalisation.
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Step 2: Visit the hospital's insurance desk and obtain the cashless request form.
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Step 3: Fill out the form with accurate and detailed information about the patient, policyholder, and treatment details.
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Step 4: Attach all the relevant documents, such as medical reports, doctor's prescription, ID proof, insurance card, etc.
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Step 5: Submit the filled form and documents to the hospital's insurance desk.
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Step 6: The hospital's insurance desk will verify the information and forward the request to the insurance provider.
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Step 7: The insurance provider will evaluate the request and communicate the approval or denial of cashless facility.
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Step 8: If the request is approved, the insurance provider will directly settle the hospital bills. If denied, you may have to bear the expenses initially and claim for reimbursement later.

Who needs request for cashless hospitalisation?

01
Anyone who has health insurance and requires hospitalisation can make a request for cashless hospitalisation.
02
It is especially useful for policyholders who want to avoid the hassle of paying upfront hospital bills and seeking reimbursement later.
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Cashless hospitalisation can benefit individuals who have limited financial resources and prefer the convenience of direct billing between the hospital and insurance provider.
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Request for cashless hospitalisation is a form submitted to the insurance company by a policyholder seeking approval for medical treatment at a network hospital without having to pay upfront.
The policyholder or the insured individual is required to file the request for cashless hospitalisation.
To fill out a request for cashless hospitalisation, the policyholder needs to provide personal details, insurance policy information, details of the hospitalization, and treatment required.
The purpose of the request for cashless hospitalisation is to seek approval from the insurance company for medical treatment at a network hospital without having to pay upfront.
The request for cashless hospitalisation must include personal details, insurance policy information, details of hospitalization, treatment required, and any other supporting documents.
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