Start with eligibility
Share the policy or TPA card and the patient’s identification with the insurance desk. The hospital can help prepare and submit available documents, but approval, limits and exclusions are decided by the insurer or TPA.
Prepare policy details early and understand which decisions belong to the insurer or TPA.
Share the policy or TPA card and the patient’s identification with the insurance desk. The hospital can help prepare and submit available documents, but approval, limits and exclusions are decided by the insurer or TPA.
Ask which amount has been approved, which items remain payable and whether the insurer needs any additional document. Cashless approval does not necessarily mean every charge is covered.