Cashless Request

Hospitals submit a cashless request to the TPA on behalf of the insured patient before treatment or admission. This request includes medical details and estimated costs for approval from the insurance provider.

Enables Cashless Treatment

Pre-Authorization Process

Request Application

A cashless request is a policyholder's formal application or request to avail of medical services or treatment at a network hospital or healthcare facility without having to make upfront payments for covered services.

The cashless request is typically submitted to the insurance company or its third-party administrator (TPA) by the policyholder when they need medical treatment.

How a cashless request works:

Need of Medical Treatment

When a policyholder requires medical treatment, they can choose to receive care at a network hospital covered by their health insurance policy.

Contacting the Insurance Company

Before seeking treatment, the policyholder contacts their insurance company or TPA to initiate the cashless request.

Providing Information

The policyholder is required to provide information: Policy details, the nature of the medical condition, the selected network hospital, and the expected date of admission.

Verification and Approval

The insurance company reviews the cashless request to verify its validity and ensure that the proposed treatment is covered under the policy.

Cashless Authorization Letter

If the request is approved, the insurance company issues a cashless authorization letter to the policyholder.

Presenting the Letter at the Hospital

The policyholder presents the cashless authorization letter to the hospital during the admission process.

Policyholder's Responsibility

While the policyholder does not have to pay, they are still responsible for any applicable co-payments, deductibles, or non-covered expenses as per the policy terms.

Monitoring the Claim

The insurance company continues to monitor the claim throughout the treatment process to ensure that it remains within the approved scope and coverage.

What is important?

Cashless requests are designed to provide policyholders with convenience and financial relief when they need medical care.

Policyholders should be aware of the terms and conditions associated with cashless hospitalization, including any financial obligations they may have.

It's essential to communicate with the insurance company and the network hospital to ensure a smooth and hassle-free cashless claims process.

A Regent Group Initiative

info@tpadesk.com

+91 11 69 655 250

Cashless Request

Hospitals submit a cashless request to the TPA on behalf of the insured patient before treatment or admission. This request includes medical details and estimated costs for approval from the insurance provider.

Enables Cashless Treatment

Pre-Authorization Process

Request Application

How a cashless request works:

Need of Medical Treatment

Contacting the Insurance Company

Providing Information

Verification and Approval

Cashless Authorization Letter

Presenting the Letter at the Hospital

Policyholder's Responsibility

Monitoring the Claim

What is important?

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Cashless Request

Hospitals submit a cashless request to the TPA on behalf of the insured patient before treatment or admission. This request includes medical details and estimated costs for approval from the insurance provider.

Enables Cashless Treatment

Pre-Authorization Process

Request Application

How a cashless request works:

Need of Medical Treatment

Contacting the Insurance Company

Providing Information

Verification and Approval

Cashless Authorization Letter

Presenting the Letter at the Hospital

​Policyholder's Responsibility

Monitoring the Claim

What is important?

Policyholder's Responsibility