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We are a leading service provider for the Services which includes services like Cashless Authorization & Rejection Service & Claim Reimbursement Services since 2009

Cashless Authorization & Rejection Service

  • Cashless authorization requests are to be scrutinized and the decision of acceptance or rejection is to be conveyed to the service provider within 24 hrs. of the receipt of the Pre Hospitalization Authorization Form.
  • In case where a query has been raised the query has to be satisfied by the concerned party and the authorization will be given within 24 hrs. of the receipt of the reply.

Claim Reimbursement Services

When Cash Less Facility is not accorded or Insured goes to a Non Network Hospital then following documents are required :

  • Claim Forms
  • Original bills with Diagnostic reports
  • Doctor’s First prescription
  • Discharge summary/certificate.

Adequate Coverage Of Network Hospitals Service

  • Providing a comprehensive coverage of network hospitals at all locations of client operations.

Vipul MedCorp TPA has service level agreement for all the above-defined parameters and the same can be incorporated in the client agreement.

MIS Report Service

Weekly/ Monthly MIS are prepared for the following:

  1. Claims Paid /Outstanding
  2. Premium Collection
  3. ID Cards Processed & Dispatched
  4. Special reports annually for disease wise analysis, total age wise claim incidences etc.

Call Center Responses Service

Vipul MedCorp TPA operates a 24 * 7 / 365 days Call center to provide instant accessibility to the clients for all information required for medical services facilitation and claims status.

ID Cards Printing And Dispatch Service

Vipul MedCorp TPA TAT for the Delivery of cards is within seven (7) days of the receipt of the complete data of insured members and the details of the policy from the insurance company.

Also Deals In

  • Cashless Medical Service
  • Claim Management & Control Services
  • Claim Processing & Reimbursement Services
  • Claims Settlement & Reimbursement Service
  • Evacuation Services
  • ID Cards Printing And Dispatch Services
  • Online Assistance To Insured Services
  • Tariff Rationalization Services
  • Cost Containment Services

To,Vipul Medcorp Tpa Private Limited

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