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Cashless Outsourcing

When you have a cashless policy, you don’t have to pay for medical treatment upfront at the hospital or worry about large bills later. This can be incredibly helpful in an emergency when your focus needs to be on the patient. However, it’s important to keep in mind that there are conditions that come with this type of coverage. Make sure you understand what your policy covers and what it doesn’t before signing up.

Some cashless policies come with a limit on the amount they will cover. This means that if your medical treatment costs exceed this limit, you will be responsible for paying the remainder. It’s important to check with your insurer to see if there is a limit on your policy.

Another thing to keep in mind is that not all medical facilities will accept cashless payments. You may need to pay for your treatment upfront and then submit a claim to your insurer for reimbursement. Be sure to check with your insurer and the medical facility before assuming that you can use your cashless policy.

Decoding Cashless

In cashless health insurance, the company is partnered with select hospitals that agree to let the insurer settle patient bills. There needs to be a form signed by both parties before admission, and it has to be authorized by a doctor.

The TPA receive the completed form, and based on the policy’s conditions, they will send either an Authorisation or Denial Letter to both the hospital and individual spelling out how much coverage they have. Cashless policies cover two types of hospital procedures—planned in advance or emergency.

Cashless Outsourcing Procedure

You can apply for cashless outsourcing yourself or with our assistance. We are one of the best cashless outsourcing empanelment consultants on the market. Here are the easy steps for empanelment with cashless outsourcing:

You can fill out the application form for cashless outsourcing on their website.
Please upload the necessary papers for joining our panel.
Respond to the TPA Insurance clarification emails.
If mandated, get the hospital inspection done.
From TPA insurance, obtain final confirmation of your empanelment.

For some physicians, hospitals, and clinics, the preceding actions may be laborious. This is where you can rely on ClaimMantra to help you with the signup procedure. Simply create an account with us and we will handle everything else.

Anatomy of Cashless Outsourcing

Some insurance companies will only allow cashless facilities at specific hospitals, while in others you have to pay the bill and then get reimbursed.
Certain illnesses and diseases may not be covered by your insurance or your policy.
Some illnesses/diseases may not be covered during the first year of insurance.
The policy usually does not cover pre-existing illnesses/diseases.
Unless it’s a surgery like a cataract that is extremely specialized, you must be hospitalized for at least 24 hours to use this service.

Cashless Outsourcing Documents Required

TPA Insurance provides hospitals and clinics with a standard list of documents required for empanelment. Specific companies may require additional documentation. The standard list includes:

Hospital registration certificate
Hospital photographs
Any other Empanelments
Details of doctors and support staff
List of the services provided
Pre-entry/ NABH certification (if available)
Bio-medical waste certificate
NOC from Fire department

Top Cashless Outsourcing Consultant

Our team of doctors, healthcare professionals and certified quality consultants are among the top candidates for empanelment. If you choose to partner with us, some of the benefits include

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