Empanelments

Vision:

To establish ourselves as a trusted healthcare centre for the community and a centre for excellence in Urology, Orthopaedics and Surgical Specialty by providing world standard care at affordable costs. 

Mission:

Providing state of the art facilties in minimally invasive surgery, urology and orthopaedics and establish the centre as a referral and training facility in these domains.

Our Empanelled List of TPAs

We are a NABH Pre-accredited hospital with the most leading panels available. We offer cashless services to our patients through the following networks:

1. Niva Bupa
2. UHC Parekh
3. Vidal TPA
4. HDFC Ergo TPA
5. Cigna TTK
6. Aditya Birla Health Insurance
7. East West TPA
8. IFFCO Tokio General Insurance
9. Ericsson TPA
10. Focus TPA
11. Alankit TPA
12. Health India TPA
13. E-Medivision
14. Care TPA
15. Go Digit TPA
16. Bajaj Allianz TPA
17. Liberty General Insurance
18. East West Insurance
19. FHPL
20. Mediassist TPA
21. SBI General Insurance
22. National Insurance
23. New India Insurance
24. Oriental Insurance
25. United India Insurance
26. Universal Sompo

For insurances and TPAs that are not enlisted with us, our TPA desk also provides active support in settling the claim process on PDC Cashless basis.

Process of cashless claim processing

1. OPD Consultation
2. Patient consults the treating consultant in OPD.
3. Detailed history, examination, and diagnosis are recorded.
4. Consultant advises admission for surgery/procedure if required.
5. TPA / Insurance Desk Visit
6. Patient (or relative) visits the TPA/Insurance section.
7. Counselling done regarding:
   • Procedure details and approximate cost
   • Insurance coverage & required documentation
   • Pre-authorisation process
8. Pre-Admission Formalities
9. Pre-anaesthetic check-up (PAC) tests are advised (blood tests, ECG, chest X-ray, etc. as required).
10. Reports are reviewed by the Anaesthesiologist.
11. Fitness for surgery is granted.
12. Pre-Authorisation Request
13. TPA team sends a pre-authorisation request to the insurance company with all required documents (consultation notes, diagnosis, test reports, treatment plan, cost estimate).
14. Hospital coordinates with insurer for approval.
15. Admission
16. Once pre-approval is received, patient is admitted.
17. Admission file created with insurance documents and hospital ID.
18. Nursing staff initiates pre-op preparation. Part preparation, Ensuring NPO status as required and pre op medications.
19. Surgery / Procedure
20. Surgery performed as per scheduled time.
21. Intra-operative notes, implants used (if any), and procedure details are recorded.
22. Post-Operative Care
23. Patient shifted to recovery/ward.
24. Post-op monitoring and treatment provided.
25. Consultant reviews daily progress.
26. Final Approval & Billing
27. At completion of treatment, the final bill is prepared by the accounts/TPA desk.
28. Final approval request is sent to insurance company (includes operative notes, discharge summary, investigation reports, and bills).
29. TPA coordinates with insurer for settlement.
30. Discharge
31. After approval, patient is discharged.
32. Discharge summary and prescriptions are explained to patient/attendant.
33. Post-op protocols, follow-up visits, wound care, and physiotherapy instructions are given.
34. Copy of final bill and insurer approval handed over to patient.

Processing of reimbursement claims

1. OPD Consultation
2. Patient consults treating consultant in OPD.
3. History, examination, and diagnosis recorded.
4. Consultant advises admission for surgery/procedure.
5. Admission
6. Patient (or relative) completes admission formalities.
7. Patient pays initial deposit as per hospital policy.
8. Insurance coverage is explained (reimbursement mode).
9. Pre-Admission Tests & Fitness
10. Required PAC tests (blood tests, ECG, chest X-ray, etc.) performed.
11. Anaesthesia consultant reviews reports and grants surgical fitness.
12. Surgery / Procedure
13. Surgery performed as per schedule.
14. Operative notes, implant details (if any), and treatment records documented.
15. Post-Operative Care
16. Patient shifted to recovery/ward.
17. Post-op monitoring and treatment provided.
18. Consultant reviews and records daily progress.
19. Billing
20. Hospital prepares interim bills during admission.
21. Patient/family makes payment at intervals if needed.
22. Final consolidated bill is prepared at discharge.
23. Discharge
24. Discharge summary prepared by treating consultant.
25. Nursing staff counsels patient/attendants on post-op care, medications, and follow-up visits.
26. Final bill settlement done by patient at hospital accounts.
27. Claim Documentation (Hospital Support)
28. Hospital provides the following documents (duly signed & stamped):
    • Discharge summary
    • Operation notes
    • Investigation reports
    • Pharmacy bills
    • Implant stickers (if applicable)
    • Final hospital bill with receipts
    • Doctor’s certificate for treatment
29. Patient Submission to Insurer
30. Patient/relative submits all documents to insurance company/TPA directly.
31. Hospital may guide but insurer correspondence is directly between patient and insurer.
32. Reimbursement Settlement
33. Insurance company verifies documents.
34. If queries arise, hospital provides clarifications upon patient’s request.
35. Claim amount is reimbursed by insurer directly to patient’s bank account.