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Procedure For Hospitalisation

This document outlines the procedure for hospitalization under an employee's health insurance policy with Cogencis Information Services Ltd. It details the process for three types of hospitalization: 1) cashless hospitalization which requires admission to a network hospital and pre-authorization, 2) reimbursement which allows admission to any hospital but requires post-admission notification, and 3) day care which covers some outpatient procedures without an overnight stay. Specific instructions are provided around intimation emails, timelines, and documentation required for claiming expenses.

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Desai Abhishek
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0% found this document useful (0 votes)
20 views2 pages

Procedure For Hospitalisation

This document outlines the procedure for hospitalization under an employee's health insurance policy with Cogencis Information Services Ltd. It details the process for three types of hospitalization: 1) cashless hospitalization which requires admission to a network hospital and pre-authorization, 2) reimbursement which allows admission to any hospital but requires post-admission notification, and 3) day care which covers some outpatient procedures without an overnight stay. Specific instructions are provided around intimation emails, timelines, and documentation required for claiming expenses.

Uploaded by

Desai Abhishek
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PROCEDURE FOR HOSPITALISATION

Group Name Cogencis Information Services Ltd.

TPA I-health Care

Broker Interlink Insurance

Policy Start Date April 01, 2023

Policy End Date March 31, 2024

Type of Hospitalisation
1 Cashless Hospitalisation
2 Reimbursement
3 Day Care
# Please note, for any kind of reimbursement other than Day Care, 24 hours Hospitalisation is
mandatory

Cashless Hospitalisation
Step 1 In case of planned hospitalisation, please check the hospital is mentioned in the
Network Hospital List
Step 2 Once, you decide the hospital, send an intimation email as below:
Claim intimation email should be sent within 24 hours from the date of Admission.
Email Ids:
Aman.ku@icicilombard.com
Rahim.ebji@icicilombard.com
Shreyas.shah@interlinkre.com
Varun.thakur@interlinkre.com
hr@cogencis.com (Mark cc)

Kindly use the following Subject Line format for any claim communication & use
same mail trail for further communication

“Cogencis Information Services Ltd_(Patient Name)_Date of Admission _ ”Employee


Code” _ “Hospital Name”

Rest Details should be followed as mentioned in the Mediclaim Intimation


Procedure.

NSE-cogencis/PH/V: 01/23-24 1|Page

Cogencis Information classification: Official


Reimbursement
Step 1 Incase of emergency, you can check with the HR or the Insurance broker person if
there is any nearby hospital for cashless. If time doesn’t permit you can admit the
person to any hospital and claim this under reimbursement.
Step 2 Send an intimation email as below:

Claim intimation email should be sent within 24 hours from the date of Admission.
Email Ids:
Aman.ku@icicilombard.com
Rahim.ebji@icicilombard.com
Shreyas.shah@interlinkre.com
Varun.thakur@interlinkre.com
shr@cogencis.com (Mark cc)

Kindly use the following Subject Line format for any claim communication & use
same mail trail for further communication

“Cogencis Information Services Ltd_(Patient Name)_Date of Admission _ ”Employee


Code” _ “Hospital Name”

Rest Details should be followed as mentioned in the Mediclaim Intimation


Procedure.
Day Care
Day Care procedure that do not require hospitalisation of 4 hours

Chemotherapy Radiotherapy ( Cataract) Eye Surgery


Lithotripsy (Kidney Stone Removal ) Tonsillectomy and more
Dilation & Curettage

NSE-cogencis/PH/V: 01/23-24 2|Page

Cogencis Information classification: Official

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