TAT Services Rendered

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).

TAT Services Rendered

S.N.	Services Rendered	TAT(Maximum)
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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