RGCIRC Team

11 May, 2017

At the time of Discharge, the Discharge Summary (which explains your medical condition at admission and the treatment given to you during hospitalization) along with your final bill, is sent to the TPA / insurance agency by our TPA Desk, for approval of the final billed amount. On average, a TPA / insurance agency takes 3-4 hours to revert with their approval/denial.

Once approval is received, the TPA Desk will inform you and you can settle the bill at the Cash Counter as per the amount approved and your share in the payment. All prescriptions, reports, bills and films will be retained by the Institute to file a claim of the billed amount, with the TPA/ insurance agency.

If the TPA / insurance agency sends a denial or rejection of your final bill and treatment (based on their guidelines), you will be required to pay the complete billed amount. You can file a claim of reimbursement with your TPA / insurance agency, after settling your bills at discharge.

All documents including your Discharge Summary, prescriptions, test reports, films, ECG strips and pharmacy bills will be handed to you so that you can complete the claim filing requirements. Most health insurance companies have now made it very easy to file reimbursement claims, please contact Your TPA / insurance agency for guidelines on the same.

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