Insurance desk guidance

Cashless hospital admission protocols

Hospital Third Party Administrator desks process claims directly with network insurers during planned care. Learn how pre-authorisation reduces sudden out-of-pocket deposits.

Stepwise settlement

Three pre-authorisation phases

01
02
03

Initial desk request

Insurer interim approval

Final discharge settlement

Submit your policy health card and doctor initial diagnosis at the hospital TPA counter 48 to 72 hours before planned surgical admissions.

The insurance underwriter issues an initial sanction letter establishing your approved medical room category and baseline clinical procedural cost.

Hospital billing submits the final itemized pharmacy and surgeon account. The patient pays only unapproved non-medical consumables and co-pays.

Mandatory desk records

Required admission paperwork

Carrying complete verification documentation prevents desk delays, unnecessary cash security deposits, and unexpected claim repudiation by the insurer.

Insurance ID and KYC

Clinical consultation slips

Pre-authorisation form

Provide physical or digital health insurance cards alongside government photo identity such as Aadhaar or voter identification for the patient.

Include primary doctor consultation notes detailing medical history, admission advice, diagnostic lab results, and radiologic reports confirming procedure necessity.

Complete Part A with personal policy details while the treating hospital physician signs Part B specifying the planned surgical diagnosis.

Verify policy network empanelment

Speak with hospital desk coordinators before planned procedures to confirm network status, room-rent capping limits, and deductible copay requirements.