| 1 |
ID Cards availability on TPAs website from the date of availability of policy data & others documents from Insurer’s Portal/Soft copy/ Underwriting Offices |
3 Days |
| 2 |
Dispatch of all correct physical ID cards from the receipt of policy data from Insurer’s |
7 Days |
| 3 |
Deficiency Correction & Dispatch of Corrected cards |
7 Days from receipt of correct details |
| 4 |
Settlement data upload for claims on receipt of all claim papers (reimbursement and cashless) |
25 Days |
| 5 |
Pre-authorisation approval/rejections:
(24 x 7 Pre-Authorization ,servicing pre-authorization requests)
|
• Within 2 hours from the time of submission of required documents for Emergency Hospitalisation
• Within 4 hours from the time of submission of required documents for
Planned Hospitalisation
• Within 2 hour of receipt of request with documents for enhancement
• Within 2 hours of receipt of final bill with documents for discharge
• Within 1 hour from the receipt of response to queries.
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