B Preauthorization Procedure - Emergency Admissions Sample Clauses

B Preauthorization Procedure - Emergency Admissions. 1. Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor /beneficiary in the pre-authorization form prescribed i.e. “request for authorization letter” (RAL) as per Annex-I (this form may change from time to time which will be informed, accordingly). The RAL shall be sent along with all the relevant details in the electronic form to the 24-hour authorization /cashless department of the insurer or its representative TPA along with contact details of treating physician and the insured. The insurer’s or its representative TPA’s medical team may consult the treating physician or the insured, if necessary. 2. The insurer or its representative TPA may continue to discuss with treating doctor till conclusion of eligibility of coverage is arrived at. However, any life saving, limb saving, sight saving, emergency medical attention cannot be withheld or delayed for the purpose of waiting for pre-authorisation.
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B Preauthorization Procedure - Emergency Admissions. 1. Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor /Patient in the pre-authorization form prescribed i.e. “request for authorization letter” (RAL) as per Annex-I (this form may change from time to time which will be informed, accordingly). The RAL shall be sent along with all the relevant details in the electronic form to the 24-hour authorization /cashless department of the AHCL or its representative AHCL along with contact details of treating physician and the insured. The AHCL’s medical team may consult the treating physician or the insured, if necessary. 2. The AHCL may continue to discuss with treating doctor till conclusion of eligibility of coverage is arrived at. However, any life saving, limb saving, sight saving, emergency medical attention cannot be withheld or delayed for the purpose of waiting for pre- authorisation.

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