{"id":3842,"date":"2021-11-20T07:47:21","date_gmt":"2021-11-20T07:47:21","guid":{"rendered":"http:\/\/athaayuhospital.in\/?page_id=3842"},"modified":"2022-02-15T12:41:38","modified_gmt":"2022-02-15T12:41:38","slug":"tpa-insurance-companys-list","status":"publish","type":"page","link":"https:\/\/athaayuhospital.in\/index.php\/tpa-insurance-companys-list\/","title":{"rendered":"TPA &#038; INSURANCE COMPANYS LIST"},"content":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#8221;3990,3991,3992,3993,3994,3995,3996,3997,3998,3999,4000,4001,4002,4003,4004,4005,4006,4007,4008,4009,4010&#8243; img_size=&#8221;full&#8221; speed=&#8221;3000&#8243; slides_per_view=&#8221;6&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>1. How Cashless hospitalization Works?<\/h2>\n<p>Health insurance companies tie up with different hospitals after checking quality of their medical services and negotiating rates for different procedures. These hospitals are known as network hospitals and when you get hospitalized in any one of them, you do not have to settle the bill with the hospital. Your insurance company that is represented by TPA (third party administrator) will coordinate and settle the bill with the hospital.<\/p>\n<p>Athaayu Hospital offers state-of-the-art diagnostic, therapeutic and intensive care facilities in a one-stop medical center.<\/p>\n<p><a href=\"https:\/\/athaayuhospital.in\/index.php\/contact-us\/\">Contact us<\/a>[\/vc_column_text][vc_separator][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>2.Planned Hospitalization<\/h2>\n<p>You know beforehand that you will be hospitalized in next few days and it means, you have ample time to decide from which we help you\u00a0 to avail our services.<\/p>\n<p>Here is what you need to do-<\/p>\n<ul class=\"data-lisitng\">\n<li>Read your\u00a0health insurance policy and\u00a0 Contact us for insurance\u00a0 to know your insurance is tied up with our hospital.<\/li>\n<li>after Conformation take your policy card to the hospital and ask for a pre-authorization form, which you can get from the insurance desk at hospital or you can also download it from the Hospital website. Usually, the first part is filled by the patient, while the other part is filled by attending physician.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>\u00a03.Emergency Hospitalization<\/h2>\n<p>This is where you need immediate medical care. You should make sure that you initiate the cashless Mediclaim facility within 24 hours of hospitalization.<\/p>\n<p>Things you will need to do are-<\/p>\n<ul class=\"data-lisitng\">\n<li>Show your health insurance card at the hospital, which will contain your policy number, name of your insurance company and the type of health policy you are holding.<\/li>\n<li>Fill in the pre-authorization form after which the person at the insurance desk will expedite your claim process. However, if you can\u2019t wait for the TPA approval, you can pay hospital bills and later reimburse it from your insurance company.<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>4.What is not paid in the cashless health insurance<\/h2>\n<p>There are some expenses which are not even covered by cashless hospitalization-<\/p>\n<ul class=\"data-lisitng\">\n<li>Attendant\/Visitor fees<\/li>\n<li>Ambulance charges<\/li>\n<li>Toiletries<\/li>\n<li>Service charge<\/li>\n<li>Expenses for oxygen mask, diapers, nebulizers, etc.<\/li>\n<li>Documentation charges<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>\u00a05.Top Reasons For Claim Rejection in Mediclaim Policy<\/h2>\n<p>Wondering why your claim is rejected by the insurance company? We have listed below some of the top reasons of rejection-<\/p>\n<ul class=\"data-lisitng\">\n<li>If the illness for which you have been hospitalized is not covered by your insurance policy<\/li>\n<li>If you exhausted entire sum assured for that period<\/li>\n<li>If the information contained in the pre-authorization form is insufficient to approve the claim<\/li>\n<li>If the information provided on the pre-existing ailment is insufficient in the pre-authorization form<\/li>\n<li>Delay in intimating TPA about hospitalization<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2>6. What is not paid in the cashless health insurance<\/h2>\n<ul class=\"data-lisitng\">\n<li>Cashless hospitalization is available only at network hospitals<\/li>\n<li>It is the hospital responsibility to give a justification of the treatment you are undergoing<\/li>\n<li>Remember to keep a photocopy of all documents, including medical bills, lab reports, claim form and discharge papers<\/li>\n<li>Remember to carefully read terms of your cashless policies because there are many conditions that could make you ineligible to avail cashless hospitalization<\/li>\n<li>Usually, an insurance company agrees to pay part of the sum required for the treatment of the patient. In some cases, if the policyholder exceeds the sum assured, then the policyholder will require to pay the excess amount<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;TPA &amp; INSURANCE COMPANYS LIST &#8221; font_container=&#8221;tag:h2|text_align:center&#8221;][vc_separator border_width=&#8221;2&#8243; el_width=&#8221;30&#8243;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<ul class=\"tm-list tm-list-style-icon tm-list-icon-color-skincolor tm- tm-icon-skincolor tm-list-textsize- tm-list-icon-library-fontawesome\"><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Aditya Birla Capital TPA<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Bajaj Alliance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Care Health <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">FHPL<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Future Generali <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">HDFC ERGO<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Health Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">ICICI Lombard<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Max Bupa<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">MD India<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Medi-Assist<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Paramount TPA<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Raksha TPA <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Reliance Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Unique Healthcare<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">MPKAY<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">United Health TPA<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Health India TPA<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Cholamandalam TPA<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Ericson Insurance TPA <\/span><\/li><\/ul><ul class=\"tm-list tm-list-style-icon tm-list-icon-color-skincolor tm- tm-icon-skincolor tm-list-textsize- tm-list-icon-library-fontawesome vc_custom_1644928758896\"><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">ESIC(Inprocess)<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Bajaj Finance Limited <\/span><\/li><\/ul>[\/vc_column][vc_column width=&#8221;1\/3&#8243;]<ul class=\"tm-list tm-list-style-icon tm-list-icon-color-skincolor tm- tm-icon-skincolor tm-list-textsize- tm-list-icon-library-fontawesome\"><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Heritage Health Care<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Max Bhupa Ins<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">National Ins Company<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Aegon Life Insurance Company<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Birla Sun Life Insurance Company<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">ICICI Prudential Life Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">.Max Life Insurance <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">SBI Life Insurance Company<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Royal Sundaram Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Royal Sundaram and ALI Combi<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">HDFC Life Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Reliance Life Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">TATA AIA Insurance<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">The New India Assurance Co.<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">SBI General Insurance Co.<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">.Orintal Insurance Co. <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Iffco Tokio General Insurance Co.<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Navi General Insurance Company\nLimited. <\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Go Digit General Insurance Company\nLimited.<\/span><\/li><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Bharti Axa General Insurance <\/span><\/li><\/ul><ul class=\"tm-list tm-list-style-icon tm-list-icon-color-skincolor tm- tm-icon-skincolor tm-list-textsize- tm-list-icon-library-fontawesome vc_custom_1644928783041\"><li><i class=\"tm-skincolor fa fa-arrow-circle-right\"><\/i>  <span class=\"tm-list-li-content\">Reliance General\nInsurance(Inprocess).<\/span><\/li><\/ul>[\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#8221;3990,3991,3992,3993,3994,3995,3996,3997,3998,3999,4000,4001,4002,4003,4004,4005,4006,4007,4008,4009,4010&#8243; img_size=&#8221;full&#8221; speed=&#8221;3000&#8243; slides_per_view=&#8221;6&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text] 1. How Cashless hospitalization Works? Health insurance companies tie up with different hospitals after checking quality of their medical services and negotiating rates for different procedures. These hospitals are known as network hospitals and when you get hospitalized in any one of them, you do not&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"_links":{"self":[{"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/pages\/3842"}],"collection":[{"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/comments?post=3842"}],"version-history":[{"count":25,"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/pages\/3842\/revisions"}],"predecessor-version":[{"id":4132,"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/pages\/3842\/revisions\/4132"}],"wp:attachment":[{"href":"https:\/\/athaayuhospital.in\/index.php\/wp-json\/wp\/v2\/media?parent=3842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}