For Cashless Facility Clause Samples
For Cashless Facility. Cashless Facility is only available at a Network Provider. The complete list of Network Providers is available on Our website (The list is updated as and when there is any change in the Network Provider) or can be obtained from Our call centre. In order to avail of Cashless Facility, the following procedure shall be followed:
(a) Pre-authorization for Planned Hospitalization: At least 48 hours prior to a planned Hospitalization, We or Our TPA shall be contacted to request pre-authorization fo availing the Cashless Facility for that planned Hospitalisation. Each such request must be accompanied by all the following details:
(i) The Health Card We have issued to the Insured Person;
(ii) The Policy Number;
(iii) Name of the Policyholder;
(iv) Name and address of Insured Person in respect of whom the request is being made;
(v) Nature of the Illness/Injury and the treatment/surgery required;
(vi) Name and address of the attending Medical Practitioner;
(vii) Hospital where treatment/surgery is proposed to be taken;
For Cashless Facility. Cashless Facility is only available at a Network Provider. The complete list of Network Providers is available on Our website (The list is updated as and when there is any change in the Network Provider) or can be obtained from Our call centre. In order to avail of Cashless Facility, the following procedure shall be followed:
(a) Pre-authorization for Planned Hospitalization:
(I) Pre-authorization form available at the hospital helpdesk to be duly filled in and signed by Insured and treating doctor
For Cashless Facility. Cashless Facility is only available at a Network Provider. The complete list of Network Providers is available on Our website or can be
(a) Pre-authorization for Planned Hospitalisatio
(i) The Health Card We have issued to the Insured Person;
(ii) The Policy Number;
(iii) Name of the Policyholder;
(iv) Name and address of Insured Person in respect of whom the request is being made;
(v) Nature of the Illness/Injury and the treatment/surgery required;
(vi) Name and address of the attending Medical Practitioner;
(vii) Hospital where treatment/surgery is proposed to be taken;
For Cashless Facility. Cashless Facility is only available at a Network Provider. The complete list of Network Providers is available on Our website (The list is updated as and when there is any change in the Network Provider) or can be obtained from Our call centre. In order to avail of Cashless Facility, the following procedure shall be followed: At least 48 hours prior to a planned Hospitalization, We or Our TPA shall be contacted to request pre authorization for availing the Cashless Facility for that planned Hospitalisation. Each such request must be accompanied by all the following details:
i. The Health Card We have issued to the Insured Person;
ii. The Policy Number;
iii. Name of the Policyholder;
iv. Name and address of Insured Person in respect of whom the request is being made;
v. Nature of the Illness/Injury and the treatment/surgery required;
vi. Name and address of the attending Medical Practitioner;
vii. Hospital where treatment/surgery is proposed to be taken;
For Cashless Facility. Cashless Facility is only available at a Network Provider. The complete list of Network Providers is available on Our website (The list is updated as and when there is any change in the Network Provider) or can be obtained from Our call centre. In order to avail of Cashless Facility, the following procedure shall be followed:
(a) Pre-authorization for Planned Hospitalization:
(i) The Health Card We have issued to the Insured Person;
(ii) The Policy Number;
(iii) Name of the Policyholder;
(iv) Name and address of Insured Person in respect of whom the request is being made; Page 11; Kotak Mahindra General Insurance Company Ltd. Kotok Group Health Care - Micro Insurance UIN: KOTHMGP073V011819; Policy Wordings
(v) Nature of the Illness/Injury and the treatment/surgery required;
(vi) Name and address of the attending Medical Practitioner;
(vii) Hospital where treatment/surgery is proposed to be taken;
