Cashless Investigation takes place when an insured is hospitalized in a network hospital/nursing home; he/she need not pay the medical expenses (as per coverage) up to the sum insured specified under the policy. Under this service, we conduct spot checks as to genuinity of the claims of the patients admitted in the network hospital(s) under Cashless Scheme (On Spot Verifications).
Areas Covered During Cashless Mediclaim Investigation:
- Identification of Patient/Insured.
- Hospital Checks regarding Reputation of Hospital.
- Verification of IPD Register.
- Written Statement from Treating Doctor/Consultant.
- Written Statement from Person/Relative attending the patient.
- Collection & Verification of Medical Records.
Any Insurance Companies/TPAs having requirements of our assistance regarding Cashless Mediclaim Investigation Services; may order us. We will assure you for the Investigation Report within 24 hours from allotment time.
Thanks in advance!!!
NIDAAN Intelligence Services Team.