AR Super Specialty Hospital has tied up with most of the empanelled insurance companies and third-party administrators (TPAs). The TPA helpdesk at the Hospital Reception will assist and guide you in the process of availing the cashless facility from the TPA / Insurance Company.
The beneficiaries (patients) will be identified by the provider (hospital) on the basis of an ID card issued from TPA to all the beneficiaries.
The ID card shall have a photograph and signature or thumb impression of the Patient. Whenever there is a need for hospitalization the policyholder should bring their ID card and policy copy.
In case of emergency admission, the pre-authorization form should be sent within 24 hours after admission. Any delay has to be communicated to TPA by insurance staff.
The Pre-authorization approval issued by the insurance company will have the following details like amount guaranteed, sub-limits for room category, surgical fees etc., eligibility of beneficiary, the validity of the approval letter as per the benefit plan of the insured.
The final approval will have the final eligible amount and remarks on exclusions like non-medical expenses, co-payment and other disallowances the cost of which has to be abided by the patient. Hence after collecting the same the patient can be discharged.