HOSPITAL TPA SERVICES

CASHLESS SERVICES

Understanding the patients’ health insurance policy is always a challenge with non-experienced TPA desk team with non-insurance background. Mostly hospital face huge revenue loss because not able assess the patient’s policy & billing as per eligibility due to non-insurance background team.

Hospidime Team will share a summary of policy features are clearly highlighted, room tariff limit, co-pay, pre-existing illness and waiting period etc., It will help hospitals to prevent revenue loss as a human error. Hospidime TPA team shall provide personalized TPA management & regular MIS.

Hospidime team has in house medical doctor, who knows policy underwriting & will take care of all queries from insurance/TPA companies.

Hospidime team follow up on short payment & post final approved amount, such case will highlight our dedicated team will follow up with Insurance/TPA companies for recovery or justification of said deduction. The Hospital need not worry about man power churning as their cases will be processed by highly experienced Hospidime Team.

ANYWHERE CASHLESS SERVICES

The Cashless Everywhere Initiative, spearheaded by the IRDA, represents a significant step forward in revolutionizing the insurance landscape in India., thereby streamlining the claims settlement process and benefiting both policyholders and healthcare facilities.

Hospidime team shall ensure smooth and hassle-free cashless claim processing in hospitals to effectively resolve insurance claims for patients seeking medical treatment.

• Pre-Authorization Process :

• Verification and Approval:

• Treatment and Billing:

• Settlement and Discharge:

The Hospidime team provides comprehensive approach towards each steps of claim processing on behalf of the hospitals reflects our commitment to enhance the efficiency and satisfaction of our clients..

REIMBURSEMENT SUPPORT

Reimbursement refers to the process of receiving repayment or compensation for expenses incurred. It involves individuals paying for medical services or treatments out of pocket and then submitting a claim to their insurance provider to receive reimbursement for all or a portion of those expenses.

We assist you throughout the process, at reasonable rates to hospitals loyal patients. We acknowledge their hard-earned money invested to secure hospitalization expenses. We help to get their valid claims and also guide to claim the pre & post hospitalization expenses incurred during the treatment.

INSURANCE / TPA EMPANELMENT

HospiDime team guides Insurance/TPA empanelment process & also help hospitals and clinics get listed with various Health Insurance TPAs. The team act as a consultant, guiding healthcare facilities through the empanelment process.

Consultation and Guidance:

HospiDime provides expert advice and support throughout the empanelment process, helping hospitals understand the requirements and procedures for each TPA.

• Document Preparation:

They assist in preparing and organizing the necessary documents required for the empanelment application.

• Application Submission:

HospiDime helps with the online application submission process on the respective TPA websites.

• Clarification Handling:

They address any queries or clarification requests from the TPA during the review process.

• Hospital Inspections:

If required, they coordinate and manage the hospital inspection process as part of the empanelment.

• Final Empanelment Confirmation:

They facilitate the final confirmation and empanelment from the TPA..