Post OPD Consultation

Post OPD Consultation Information Sheet

We thank you for choosing Parkview Super Speciality Hospital as your preferred Medical Care Centre. We are happy to share some useful information that may help you for the next step. Applicability of the same will depend on the advice from your doctor.

1. Building Directory:

Hospitalization

If Inpatient Admission is recommended by your Consultant, kindly visit the Admission Discharge Reception on the Ground Floor between 8 am & 8 pm.

Please carry the Doctor’s prescription for Bed Booking.

Types of Available Beds

**Bed Tariff is subject to change without prior notice.

Mediclaim Facilities

For Planned / Non-Urgent Hospitalization:

• It takes 2 to 3 days to get approval from the time the form is submitted.
• Immediately after consultation – Contact the Insurance Desk.
• Desk will help you complete the Form and will collect the necessary documents*.
• Desk Timings: 10 am to 6 pm Monday to Sunday.
• Direct Phone No.: 033-4059 1137
• Email: insurance@parkviewhospital.in

For Emergency Hospitalization:

• Contact the Desk as soon as possible.

Points to be noted

1. The Insurance Desk is only a facilitator. The Hospital cannot influence the Insurance company. The desk is only a conduit between you and the Insurance Company. TPA (Insurance Company) may not approve the cashless hospitalization for various reasons outlined below –

• If the disease for which you are being admitted is not covered in the policy.
• Information submitted in the Form is inadequate, for which further documents from

you or the treating Physician will be required. This is quite common.

• If there is a waiting period in your policy.
• If the sum insured is insufficient for the proposed treatment.

2. Initial history declared by the patient to the doctor or in the Form will be considered as the truth and cannot be modified/changed later.

Quite frequently, the company representative will phone or visit the patient personally for verification. You are advised to stick to what you have declared. Any discrepancy will result in denial of the cashless treatment.

3. Room category depends on the sum insured. Rooms with higher charges are generally disallowed by the TPAs. In case you opt for a room with a higher charge, then a substantial amount of the bill has to be additionally paid by you.

4. Co-payment and Non-medical expenses are to be borne directly by the patient/patient relative during discharge clearance.

5. The hospital will not provide breakup details of packages (The Insurance company disallows this).

All Investigations, reports or X-ray plates will be retained by the hospital in ORIGINAL, for submission to the Insurance Company. You can get a copy from the hospital on a nominal payment.

6. In case of cashless denial from the TPA, the patient/patient’s family has to pay the total bill in cash to the hospital before discharge.

7. Please allow sufficient time on the day of discharge to process your claim.

It takes at least 3 to 4 hrs. (starting from 10 am).

Insurance Documents Check List

For All policies (Retail & Corporate):

Xerox copy of Insurance card, current year valid Policy copy.

Patient’s Pan and Aadhaar.

Policy proposer’s (Main holder) PAN and Aadhaar.

All prescriptions and reports related to the current ailment.

Admission Advice

Colored passport photo of the proposer (Main holder) for KYC.

For Corporate policies:

Xerox copy of Employee ID card.

Policy document is not required.

Empanelled TPAs and Insurance

(As of August 2024 and is subject to updation)

• Paramount Health Services Ltd.
• Health India TPA Service Ltd.
• Medvantage TPA
• MD India TPA
• Medi Assist India Ltd.
• Vidal Health TPA Services
• Bajaj Allianz General Insurance
• Family Health Plan (TPA)
• National Insurance
• Oriental Insurance
• United India Insurance
• The New India Assurance
• Genins TPA
• SBI General Insurance
• IFFCO TOKIO General Insurance
• TATA AIG
• Raksha TPA

• Universal SOMPO General Insurance
• Future Generali Insurance
• Safeway TPA
• Ericson TPA
• Volo Health Insurance TPA
• Park Mediclaim
• Cholamandalam General Insurance Ltd.
• HDFC ERGO General Insurance Ltd.
• Star Health and Allied Insurance Ltd.
• Aditya Birla Health Insurance Ltd.
• Heritage Health Insurance TPA Ltd.
• Reliance General Insurance
• Niva Bupa Health Insurance Company
• Health Insurance TPA
• Medsave TPA
• Care Health

**Our impaneled TPAs and Insurance companies may change periodically. Please contact the TPA Desk for an update.

Grievance Escalation

We hope you have been well looked after, while you were at Parkview.

In case of any dispute or lack of explanation, please contact the following persons to escalate matters –

Nursing:                      Nursing Superintendent / DGM – Patient Services / CEO

Front Office:              DGM – Patient Services / CEO

Billing:                        Assistant Manager – Billing / Manager Ins. & Corp. / GM – Operations / CEO

Food & Linen:             Senior Manager – Facility / GM – Operations

Thank you for choosing Parkview Super Speciality Hospital

For all queries:

Ring: 033-4059 1111 / 033-4059 1110 / 70037 32098

or

Visit our website www.parkviewhospital.in for more information