What to do if I am admitted in a non network hospital?

However, when a person is admitted to a non-network hospital, he has to pay for the whole treatment. After discharge, he can submit all the documentation and required report to the insurer. The insurer will check all the documents and approve whatever it finds reasonable.

How do I claim reimbursement in Raksha TPA?

Digital Support

1. Claim Registration. Submit Your Claim Digitally & Keep the documents for further verification.
2. Claim Intimation. Submit Your Intimation Digitally & Keep the documents for further verification.
3. Bank Details Update. Submit Your Bank Details Digitally & Keep the documents for further verification.
4. Query Reply.

How do I claim TPA insurance?

The process for settling reimbursement claims is:

1. Member undergoes Hospitalisation.
2. Collect & send the Discharge summary, claim form & bills to HI TPA.
3. HI TPA receives the documents & reviews it.
4. On Approval the member is reimbursed.

What documents need to submitted for a hospitalization reimbursement claim?

Documents needed for Reimbursement Claim Submission

• Health Card Copy.
• Hospital Discharge Summary (Original)
• Duly filled claim form.
• Investigation Reports( like scans, X-rays, blood report, etc)
• Case receipts from hospitals or chemists.
• If an accident happens, then FIR or medico legal certificate(MLC)

Which disease is covered under Raksha TPA?

magnetic Resonance, enchanced external Counter Pulsation etc are covered under the scheme, Treatment for all neurological/macular degeneration disorder shall be covered under the scheme. Insurance Company through Raksha TPA and all the claims under the scheme are to be processed by the TPA. ii.

Who is owner of Raksha TPA?

PAWAN KUMAR BHALLA – MANAGING DIRECTOR.

How do I claim reimbursement from United India insurance?

Immediately inform the office concerned over phone and in writing the occurrence of the claim along with the policy number. Obtain the claim form from the office concerned or the office nearest to you and fill up the same and give an estimate of the loss.

How is mediclaim reimbursement?

4 Simple Steps to File a Mediclaim in India

1. Step 1 – Put all receipts, bills and medical reports in order.
2. Step 2 – Request your insurance company for the claim form.
3. Policy documents include.
4. Step 3 – Prepare copies of all the original documents.
5. Step 4 – Submit the documents with the correct TPA.

How do I claim mediclaim reimbursement?

Get the claims form signed by the policy holder and the treating consultant. It should have the official hospital seal. Attach relevant policy and medical documents to the claims form. Make sure that you make copies of all the documents and review the documents carefully.