Experience a smooth discharge process without the burden of upfront payments. We facilitate direct settlements with your provider.
Our in-house experts maintain direct communication lines with major TPAs to ensure fast-track approvals for surgeries.
From claim filing to compiling medical reports, we handle all the administrative heavy lifting for your peace of mind.
Typically, the initial pre-authorization takes 2-4 hours from the time we submit the documents to the TPA/Insurance company.
While the specific internal policy isn't detailed in the snippet, typically in an orthopedic setting, the following steps occur if a cashless claim is rejected:
Transition to Reimbursement: You would likely need to pay the hospital charges out-of-pocket at the time of discharge.
Documentation Support: The hospital's insurance desk will provide you with all the necessary attested documents (discharge summary, itemized bills, and reports) so you can personally file a reimbursement claim with your insurer later.
Appeal: You can often work with the insurance desk to understand the reason for rejection (such as a request for more information) and re-submit a corrected pre-authorization.
Whether a co-payment is required depends entirely on your specific insurance policy, not the hospital itself.
Policy Clause: Check your policy for a "Co-payment" or "Cost-sharing" clause. This is a fixed percentage (e.g., 10% or 20%) of the total bill that you must pay yourself, while the insurer covers the rest.
Non-Medical Expenses: Even with "100% cover," most insurers do not pay for "non-medical" items (administrative fees, gloves, certain disposables). You will usually be responsible for these minor costs at discharge.
We understand that injuries and acute pain can happen unexpectedly. Our emergency physiotherapy.
