Preauthorization is facilitated by TPA at network Hospitals. Patient should contact an Empanelled Hospital for treatment. Hospital would then send the duly filled preauthorization request to HI TPA prior to planned hospitalizations. For emergency cases preauthorization process can be initiated within 24 hours of hospitalization.
HI TPA would then process the pre-authorization based on policy terms and convey its decision on admissibility to the Hospital. If the cashless is extended, patient is required to pay only for the Non Payable Expenses.
If the Preauthorization is denied, patient pays the hospital bill, collects original receipts and other documents at the time of discharge from the Hospital and files for reimbursement claim later on.