Genins India Insurance TPA Limited

All the network hospitals and hospitals involved in reimbursement claims to register in ROHINI Click On the Link to register now https://rohini.iib.gov.in/ and obtain either pre-entry level Certificate (or Higher level certificate) issued by National Accreditation Board for Hospitals and Healthcare Providers (NABH) or state level certificate (or Higher level certificate) under National Quality Assurance Standards (NQAS), issued by National Health Systems Resource Centre (NHSRC) by 26.07.2019 as per chapter IV of modified Guidelines on Standardization in Health Insurance Ref: IRDAI/HLT/GDL/CIR/114/07/2018/ dated 27.07.2018. In PPN cities, cashless facility will be allowed only in the PPN Network to the policyholders of Oriental Insurance Company Limited (either for Corporate or Retail).

Request For Hospital Empanelment

Minimum Criteria

Gereral Information

Type of Hospital *

Type of Care *

PPN Status *

Hospital Name *

Address 1 *

Address 2 *

State *

City *

Pincodes *

Land Line Number

Mobile Number *

Email ID *

Medical Superintendent *

Marketing/TPA Head *

Registration Number of Hospital *

Hospital Registration Valid Upto *

Registering Authority *

Rohini Registration No. *

Rohini Registration valid upto *

NABH *

NABH No

NABH Level

NABH Valid From

NABH Valid To

PAN Number of Hospital *

PAN Card Holder Name *

Hospital GST No.

Website

Latitude *

Longitude *

Basic Information

Number of Inpatient Beds *

Number of Day Care Beds *

Number of ICU Beds *

Number of RMO *

Whether RMO is available round the clock *

Number full time doctors MCI approved*

Number Consultants*

Number Surgeons Interventionists*

Doctors Exclusively ICU*

Doctor Bed Ratio*

Doctor ICU Ratio*

Nurse Bed Ratio*

Nurse ICU Ratio*

Average Admission Time*

Average Discharge Time*

Average stay medical*

Average stay surgical*

C Section percentage*

Medical Staff Details

Number qualified nursing staff *

Nursing staff availability *

Pharmacy Type *

Oxygen Supply Type *

Pathological Type *

Hospital Air Conditioned *

Ambulance Available *

ECG*

Ultrasound*

X-Ray *

T.M.T. *

Specialty	Visiting Consultants	Full Time Consultants	House Staff (Recipients and Registrars)
Anaesthesia
General Surgery
Thoracic Surgery
Primary/Family Practice
Internal Medicine
Cardiology
Obstetrics/Gynaecology
Paediatrics
Psychiatry
Orthopaedics
Neurology
Urology
Oncology
Pulmonology
G.E.(Medicine)
E.N.T
Nero Surgery
Plastic Surgery + Burns
Ophthalmology
Others (Specify)

Nursing Staff Profile

Total Number of nurses on Staff *

Number of University trained nurses on staff *

No. Staff to patient ratio during 3 different shifts *

B.Sc. Nurses *

Operation Theatre

No of Operation Theatres *

Anesthesia Machine *

High Pressure Autoclave *

Suction Apparatus *

Diathermy *

Monitors *

Operating Microscope *

Labour Room

Neonatal Resuscitation Kit *

Fontal Monitor *

Radiant Warmer *

Suction Apparatus *

Oxygen *

Emergency Services

Average No. of Emergency Room visits per month *

Emergency Services available 24*7 *

Licensed Physician on site 24*7 *

Specialists on call 24*7 *

Fulltime nursing staff with emergency training *

Ambulance service available *

If yes, ambulance owned by hospital *

Intensive Care/Critical Care Services

Licenced Physician on site 24*7 *

Specialists on call 24*7 *

Full time nursing staff with critical care training *

Blood Services

Blood Transfusion Service available *

Blood product services available *

Willingness for Installing our Software Modules *

Medical Records(World Health Organization Coding)

ICD_10 Coding *

Computers used in

Billing *

Wizards *

Appointments *

Doctors *

Clinical Areas *

OT/ICU Facilities Available

Cardiac Monitor *

Ventilator *

Defibrillator *

C-ARM *

Pulse Oximeter *

Auto Analyser *

Suction Machine *

Boyle's Apparatus *

How can we help you?

Welcome to Genins India Insurance TPA Limited