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    ECard

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    Anurag Sindhu
    The document provides instructions for using an insurance e-card for hospitalization. It states that the insured should submit the e-card and photo ID of the patient to the hospital. It also notes that the insured should fill out and submit a pre-authorization form to the hospital at least one week in advance for planned admissions or immediately for emergencies. The insurance company will then provide preliminary approval to the hospital and insured once all documents are received, requesting additional documents if needed. The hospital must seek final approval from the insurance company one day before discharge. The insured is responsible for costs if cashless approval is not provided. Bills can then be submitted for reimbursement within 15 days of discharge.

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    ECard

    Uploaded by

    Anurag Sindhu
    66 views2 pages
    The document provides instructions for using an insurance e-card for hospitalization. It states that the insured should submit the e-card and photo ID of the patient to the hospital. It also notes that the insured should fill out and submit a pre-authorization form to the hospital at least one week in advance for planned admissions or immediately for emergencies. The insurance company will then provide preliminary approval to the hospital and insured once all documents are received, requesting additional documents if needed. The hospital must seek final approval from the insurance company one day before discharge. The insured is responsible for costs if cashless approval is not provided. Bills can then be submitted for reimbursement within 15 days of discharge.

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    440917-ECard

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    The document provides instructions for using an insurance e-card for hospitalization. It states that the insured should submit the e-card and photo ID of the patient to the hospital. It also notes that the insured should fill out and submit a pre-authorization form to the hospital at least one week in advance for planned admissions or immediately for emergencies. The insurance company will then provide preliminary approval to the hospital and insured once all documents are received, requesting additional documents if needed. The hospital must seek final approval from the insurance company one day before discharge. The insured is responsible for costs if cashless approval is not provided. Bills can then be submitted for reimbursement within 15 days of discharge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    66 views2 pages

    ECard

    Uploaded by

    Anurag Sindhu
    The document provides instructions for using an insurance e-card for hospitalization. It states that the insured should submit the e-card and photo ID of the patient to the hospital. It also notes that the insured should fill out and submit a pre-authorization form to the hospital at least one week in advance for planned admissions or immediately for emergencies. The insurance company will then provide preliminary approval to the hospital and insured once all documents are received, requesting additional documents if needed. The hospital must seek final approval from the insurance company one day before discharge. The insured is responsible for costs if cashless approval is not provided. Bills can then be submitted for reimbursement within 15 days of discharge.

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    Submit this E-Card with photo ID proof of the patient (PAN card/DL etc.) to hospital.

    Fill and submit the pre-authorization form at hospital (In case of emergency
    immediately on admission / for planned admissions one week in advance).
    Mediassist intimates the preliminary approval to hospital & Insured on reciept of
    complete documents. If any further documents are required will be communicated to
    the hospital for further approval.
    Beneficiary name: Anurag Sindhu Hospital to seek enhancement/final approval from Mediassist one day before
    discharge.
    Member ID: 4050089998 Employee shall pay and get discharged,if the cashless is not approved for any
    technical reason/s and can submit the bills for reimbursement.
    Employee code: 440917
    REIMBURSEMENT :Employee shall submit all original documents related to the
    Relation: Self hospitalisation within 15 days of discharge to Corporate Insurance Department

    Primary insured: Anurag Sindhu


    Medi Assist Insurance TPA Pvt. Ltd.
    Policy holder: Aditya birla Fashion and retail
    limited (Madura fashion Lifestyle) Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road,
    Category: C2 K.M.Layout, Bengaluru, Karnataka 560029.CIN:
    U85199KA1999PTC025676
    Website: www.mediassisttpa.in Email: rbei@mediassist.in

    Toll free phone number: 1-800-425-9497

    Submit this E-Card with photo ID proof of the patient (PAN card/DL etc.) to hospital.
    Fill and submit the pre-authorization form at hospital (In case of emergency
    immediately on admission / for planned admissions one week in advance).
    Mediassist intimates the preliminary approval to hospital & Insured on reciept of
    complete documents. If any further documents are required will be communicated to
    the hospital for further approval.
    Beneficiary name: Seema Devi Hospital to seek enhancement/final approval from Mediassist one day before
    discharge.
    Member ID: 4050089999 Employee shall pay and get discharged,if the cashless is not approved for any
    technical reason/s and can submit the bills for reimbursement.
    Employee code: 440917
    REIMBURSEMENT :Employee shall submit all original documents related to the
    Relation: Mother hospitalisation within 15 days of discharge to Corporate Insurance Department

    Primary insured: Anurag Sindhu


    Medi Assist Insurance TPA Pvt. Ltd.
    Policy holder: Aditya birla Fashion and retail
    limited (Madura fashion Lifestyle) Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road,
    Category: C2 K.M.Layout, Bengaluru, Karnataka 560029.CIN:
    U85199KA1999PTC025676
    Website: www.mediassisttpa.in Email: rbei@mediassist.in

    Toll free phone number: 1-800-425-9497

    Submit this E-Card with photo ID proof of the patient (PAN card/DL etc.) to hospital.
    Fill and submit the pre-authorization form at hospital (In case of emergency
    immediately on admission / for planned admissions one week in advance).
    Mediassist intimates the preliminary approval to hospital & Insured on reciept of
    complete documents. If any further documents are required will be communicated to
    the hospital for further approval.
    Beneficiary name: Sanjeev Kumar Hospital to seek enhancement/final approval from Mediassist one day before
    discharge.
    Member ID: 4050090000 Employee shall pay and get discharged,if the cashless is not approved for any
    technical reason/s and can submit the bills for reimbursement.
    Employee code: 440917
    REIMBURSEMENT :Employee shall submit all original documents related to the
    Relation: Father hospitalisation within 15 days of discharge to Corporate Insurance Department

    Primary insured: Anurag Sindhu


    Medi Assist Insurance TPA Pvt. Ltd.
    Policy holder: Aditya birla Fashion and retail
    limited (Madura fashion Lifestyle) Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road,
    Category: C2 K.M.Layout, Bengaluru, Karnataka 560029.CIN:
    U85199KA1999PTC025676
    Website: www.mediassisttpa.in Email: rbei@mediassist.in

    Toll free phone number: 1-800-425-9497


    THANK YOU for giving Medi Assist an opportunity to manage your health benefits. Let us help you be prepared, plan for and stay fully in control of your healthcare
    with MediBuddy, your personal health buddy.

    Manage Hospitalization - Hospitalization in the family? Start with MediBuddy:

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    RAISE REIMBURSEMENT CLAIMS:


    Submit claim documents, track documents in transit, and track claim status - all online. To know more about Reimbursement Claims, click here | WATCH
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