Help Desk
Private Insurance & TPA Partners
Oriana Hospital is empanelled with several reputed private health insurance companies and Third Party Administrators (TPAs), enabling patients to avail cashless treatment facilities with minimal hassle. These partnerships help ensure smooth approval processes and efficient coordination during hospitalization.
Patients covered under our partner insurance providers benefit from cashless hospitalization as per policy terms, along with dedicated support for documentation, faster pre-authorization, and seamless claim coordination—allowing them to focus on recovery rather than administrative procedures.
Government Insurance & Health Schemes
We are also associated with government-sponsored health insurance schemes, making quality healthcare accessible to a wider section of society.
Through these partnerships, eligible beneficiaries can receive treatment under approved government programs in accordance with scheme guidelines.
Corporate & Institutional Partners
Oriana Hospital is empanelled with several corporate organizations, public sector undertakings, and government institutions, enabling eligible beneficiaries to access quality medical care with ease.
Our corporate and institutional associations include a wide range of approved corporate organizations and institutional partners, enabling eligible beneficiaries to access quality healthcare services under recognized corporate arrangements.
Through these partnerships, beneficiaries may avail:
- Cashless hospitalization and approved procedures
- Priority admission as per scheme or corporate guidelines
- Seamless coordination for medical documentation and approvals
Our dedicated insurance and corporate desk works closely with the concerned employer or government authority to ensure a smooth and timely treatment process, allowing patients to focus on recovery without administrative delays.
Insurance TPA Partners
To know if a particular TPA, insurer, or corporate organisation is empanelled with us, please contact our insurance claim helpdesk. Our experienced staff will address your queries in a timely and appropriate manner.
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Information About Insurance/Corporate & TPA
- The hospital acts only as a facilitator. Any dispute, if arising, must be resolved directly with the insurance or TPA desk.
- Cashless treatment facilities are available for empanelled TPA partners and insurance companies.
- If a patient’s preferred insurance company is not empanelled with the hospital, assistance will still be provided wherever possible.
- TPA, credit, and corporate patients admitted on a cashless or credit basis will be discharged only after receiving written authorization from the respective TPA or insurance company.
- Depending on policy terms, certain charges such as inadmissible expenses, co-payment amounts, and costs exceeding the approved authorization may have to be borne by the policyholder.
- In case of denial from the TPA or insurance company, the total hospitalization expenses must be paid by the policyholder.
- ORIANA Hospitals cannot be held responsible for any delay or denial of authorization by the insurance company or TPA.
- For any assistance or clarification, patients are requested to contact the TPA Desk or the floor coordinators.
Insurance Information - Pre-admission, Admission
- Providing all the required information and documents for insurance processing.
- The coverage of hospital by Insurance provider.
- Make sure to keep the cashless card available.
Mediclaim checklist
- Photo ID card and address proof.
- Policy papers.
- Employee ID card (if any).
- Admission advice by the consultant.
- Relevant medical reports and prescriptions. Filled up mediclaim form.
1. What is the role of the hospital in insurance or TPA-related cases?
The hospital acts only as a facilitator. Any dispute related to insurance or TPA approval must be resolved directly with the Insurance Company or TPA desk.
2. Is cashless treatment available at the hospital?
Yes, cashless facilities are available for patients insured under empanelled Insurance Companies and TPAs.
3. What if my insurance company or TPA is not empanelled with the hospital?
If your preferred insurance company or TPA is not empanelled, the hospital will still assist and guide you through the process wherever possible.
4. When can a TPA or corporate patient be discharged?
TPA, credit, or corporate patients can be discharged only after receiving written authorization from the respective TPA or insurance company.
5. Are there any charges not covered by insurance?
Yes, depending on your policy, inadmissible expenses, co-payment amounts, and charges exceeding authorization limits must be paid by the policyholder.
6. What happens if the TPA or insurance company denies authorization?
In case of denial from the TPA or insurance company, the entire hospitalization cost must be paid by the patient or policyholder.
7. Is the hospital responsible for delays or denial by the insurance/TPA?
No, the hospital cannot be held responsible for any delay or denial of authorization by the insurance company or TPA.
8. Whom should I contact for insurance or TPA-related assistance?
For any help related to insurance or TPA processes, patients can contact the TPA Desk or the floor coordinators at the hospital.
9. What documents are required for cashless mediclaim?
To avail cashless mediclaim, patients are required to carry a valid photo ID card and address proof, policy papers issued by the insurance provider, an employee ID card if applicable, admission advice given by the treating consultant, all relevant medical reports and prescriptions, and a duly filled mediclaim form. All documents should be complete and accurate to avoid delays in processing.
10. By when should mediclaim documents be submitted?
All required documents must be submitted to the TPA desk within 24 hours of admission to avoid delays or rejection.
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