Remedinet Technologies, India’s first completely electronic cashless health insurance claims processing network, has been signed on as the technology partner for Karnataka Police’s ‘Arogya Bhagya Yojane (ABY)’ health insurance scheme. Initiated in 2002, this scheme aims at cashless hospitalization under authorization from the department to all serving police personnel, their families, and dependent parents at empaneled hospitals across the state. The scheme is now powered by the Remedinet payer-provider digital network, fully geared towards making this process hassle free for all non-gazetted and gazetted officers.
Remedinet would facilitate capturing and exchange of relevant claim settlement data, in a structured and electronically readable format. This process is currently manual, error prone and time consuming. By eliminating inaccuracies in the data exchange process, Remedinet solutions would make the claim settlement process faster, accurate and hassle free for the end beneficiaries. As the technology partner, Remedinet would enable various participants in the claim settlement process to monitor the progress, thereby bringing in more transparency.
Munish Daga, CEO, Remedinet Technologies said, “Our association with the Karnataka Police for their ‘Arogya Bhagya Yojane’ scheme is indeed a proud moment for us. To make the government healthcare schemes beneficial for the target group, it is imperative to embrace latest technology. Our aim is to bring seamless customer experience through adoption of latest technology in the Indian health insurance sector. The scheme brings convenience and stability to an important section of our civic society and we are happy to contribute our bit in facilitating adoption of latest technology in the Indian health insurance sector. We have grown to cover more than 75000 personnel and have a hospital network of about 150 hospitals. We are confident that our expertise will make us the ideal partner for the Arogya Bhagya Yojane scheme.”
The Remedinet platform has been instrumental in laying the requisite groundwork and making government healthcare schemes beneficial for the target groups in other states. The seamless experience through the stages of pre-authorization, pre-discharge (final approval) and claim submission, aim at reducing the turn-around time and enhancing productivity of various participants in the health insurance claim settlement process.
This article first appeared on India Infoline.
While we all hope and pray to enjoy a healthy, long life, medical care is something we do require at some point in our life. The unpredictable, unforeseen medical expenses can mean extra financial burden in this day and age. Having a health insurance is best way to cut down these expenses. A health insurance covers these charges and provides you with risk coverage against unpredictable medical emergencies. Hence, it is crucial that you choose the best health insurance plan for you and your family.
You will never know if you do not ask! To select the most suitable health insurance policy, it is essential to understand the fine prints of your policy and get clarity on factors that really matters while a selecting the best option. Here is a list of 7 things which you should discuss with your insurance agents before taking the plunge:
- Does your insurance company offer cashless hospitalization?
Most of the health insurance companies offer special schemes and plans which suit your individual healthcare requirements. As per Insurance Regulatory and Development Authority (IRDA) guidelines, if your insurance company has tie-ups with hospitals (Network hospitals) then you do not have to pay for taking treatments in those hospitals. This policy is called ‘Cashless Hospitalization.’ The expenses under this policy are settled directly between hospital and health insurance company with the help of a Third Party Administrator (TPAs) and does not require your involvement .Ask your insurance company if they facilitate cashless health insurance policy or not.
This article first appeared on Moneycontrol.com.
An unforeseen medical emergency can mean an unexpected financial burden apart from the emotional stress that such an incident entails. To ensure that adequate financial resources are at our disposal during such emergencies, we sign up for a health insurance policy. However, while this measure affords us some peace of mind, the family of the patient is still required to fill in a plethora of forms and furnish initial amount at the time of hospitalization. Though this amount can be claimed later from the insurance companies, arranging the required some at such an hour could be quiet challenging, especially if the procedures are long and complicated. Cashless health insurance policies are designed specifically to relieve stress for the insured at the crucial moment of hospitalization.
Cashless health insurance
Cashless health insurance is a policy where the health insurance companies settle the hospitalization and treatment bills directly with the hospitals without the immediate involvement of the insured. Under cashless health insurance scheme, Third-Party Administrators (TPAs) act as the bridge between the insurance companies and the hospitals. All the medical bills raised by hospitals are sent across to TPAs who then coordinate with the insurance companies to settle the claim. This process eliminates the need to furnish any amount at the time of hospitalization and also minimizes documentation required to avail medical services.
Cashless mediclaim service can be of two types:
- Planned claim – When the insured is aware of the hospitalization in advance
- Emergency claim – When immediate hospitalization is required due to serious illness or an accident