Other Services - How Does Cashless Mediclaim Work?

To begin, each insurer maintains a list of hospitals that fall under its authorised service provider umbrella once they have completed their due diligence.
These hospitals are referred to as network or empaneled hospitals, and their affiliations are renewed annually. The entire hospital selection procedure is rigorous and focused on the hospital's greatest health-care facilities.
If a hospital fails to meet the insurer's standard criteria, the hospital will be dropped from the network. This procedure ensures that only the top hospitals are included to an insurance company's network of hospitals. Only the list of network hospitals will have a cashless mediclaim facility.
You must submit the relevant paperwork to an insurance company representative or a Third Party Administrator (TPA) if you want to use this service. The TPA is in charge of communicating with the hospital and dealing with the insurance company for cashless claims.

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