Hospitalization benefit for TPA Patients

Patients can avail of the benefit of Cashless hospitalization at Bombay Hospital & Medical Research Centre if the TPA that the patient is covered by is tied up with the hospital.

How to identify your TPA?

There are several ways to identify your TPA:

Where to get pre-authorization forms

- Marketing Department –

Important points to note –

Marketing Department will guide you through the pre-authorization procedure. However, the Department is only a facilitator and can in no way influence the decision on the approval. Your TPA may not grant approval due to the following reasons –

Room Eligibility:

Documents required for Cashless

Admission Process –

During hospitalization:

Discharge Process –

Denial process:

On denial of Cashless hospitalization by the TPA, the patient will be treated as a cash paying patient and will have to make the necessary payments as per hospital policy.

Re-imbursement Process –

Documents required –

a. Part A & Part B forms of respective Insurance Companies

b. All original investigation reports

c. Original Bills

d. Indoor case papers (if required)

For queries, you may call Tel.No. 022-40511430/40511235 between 10 am to 4pm

Mediclaim

Bombay Hospital is the one of the Tertiary Care Hospital to be recognized by the following Govt. Insurance Companies (GIPSA) for cashless –

Kindly confirm with your policy copy or agent, as to which TPA would be processing your cashless.

List of TPA’s / Insurance companies/International Insurance Companies

TPA’s

INSURANCE Cos.-

INTERNATIONAL SERVICE PROVIDERS-

(Bombay Hospital Reserves the right to deny the Cashless Facility to any of the Card Holders of Above Mentioned TPA’s.)

Marketing department will assist you and guide you in the process of obtaining the cashless facility from the TPA / Insurance company.However the primary responsibility of obtaining the authorisation would be of the patient / relative.