Insurance Companies/Most TPA are in Tie-Up with Dhayal Hospital

In case of emergency / planned admission (for patients covered under any mediclaim / health insurance) patient / patient relatives are supposed to produce a valid TPA ID card and insurance policy copy and a valid Photo ID Proof of the Patient..

• The photocopy of the TPA card, Photo ID card or insurance policy is retained by the admission desk while the patient starts receiving necessary medical treatment.
• During admission the patient relative fulfils the required formalities like filling up the necessary consent forms.
• The coordinator/Doctor who is at the hospital TPA desk fills up the pre authorization form (duly signed by the patient / patient relatives) and forwards it to the concerned TPA by fax/mail within 24 to 48 hours of hospitalization of the patient.
• The coordinator at the TPA desk does regular follow-up with the concerned TPA and waits for the initial approval letter of the patient.
• The coordinator at the TPA desk answers to any query/additional information asked by the concerned TPA regarding the treatment of the patient.
• After receiving the authorization/denial letter or any information from the concerned TPA, coordinators at the TPA desk informs the patient relatives.
• If the concerned TPA sends a denial letter before the discharge of the patient, the patient/patient relatives will have to settle the entire bill amount by cash payment.
• If the authorization letter is sent by the concerned TPA, the patient/patient relatives have to pay the charges of only the unapproved part.
• At the time of discharge patient relatives will get the photocopy of all the reports. Original reports and bill are sent to the concerned TPA.
• In case of any query the patient relatives may contact the TPA cordinator at the Front Office or Reception Incharge (Front Office) at 01575-225218 during the regular office hours.