REF: HRD DIVISION CIRCULAR NO.531 DATED 20.03.2009
REF: HRD Division Circular No.478 dated 21.08.2008
1. M/s. MD India Healthcare Services (TPA) Pvt. Ltd. appointed as Third Party Administrator (TPA) for the above policy.
2.MD India Healthcare Services Ltd. has empanelled sufficient number of Hospitals all over India and the same is available in their website www.mdindiaonline.com, or contact themat their Customer Care Phone No. 18002331166. The list is updated/revised from time to time by them.
3. For cashless facility, the employees/their family members can approach these hospitals and the same should immediately be brought to the notice of the TPA desk attached with the hospital or to any of the nearby offices of M/s. MD India given at Annexure-A.
4. In case hospitalization is done in any of the hospitals other than the hospital empanelled by MD India, the intimation of the same be sent to any of the nearby offices of MD India within 24 hours of hospitalization.
5. For submission of hospitalization claim, certain formalities are to be completed/complied with, which are given at Annexure-B.
6. Specimen claim form of M/s. MD India Healthcare Services (TPA) Pvt. Ltd. is also enclosed as Annexure-C. The same should be submitted within a period of 15 days from the date of discharge, to any of the nearby offices of MD India, complete in all respect.
7.While making claim, concerned employees are advised to mention their correspondence address, phone no. including mobile, FAX No. and the e-mail address, if any.
LIST OF BRANCH ADDRESSES & CONTACT NUMBERS
Bangalore 90/2, First and second floor, 080 22111050 22111070 Mr. Mallikarjuna Rao J. (Branch Manager) Mr. Pankaj Pardeshi (Sr.Manager – South Region) Branch K H Road, Bangalore – 560 027 (Karnataka) 32422117 M : 09341402251 M : 09382185488
Chennai 1402, H Block, 15th Main Road, 044 26162386 26164000 Mr. Pankaj Pardeshi (Sr. Manager -South Region)Mr. V Vivek Vardhan (Asst.General Manager – South)Branch Anna Nagar, Chennai- 600 040 (Tamilnadu) 32978497 M : 09382185488 M: 09347924476
Coimbatore Door No. 880, 2nd floor,Mattupalayam Road, 0422 2477151 2477153 Ms. Karpagam R. (Branch In-charge) Mr. Pankaj Pardeshi (Sr. Manager – South Region) Branch Flower Market Area, Coimbatore – 641 001(Tamilnadu) 3240076 M : 09367602251 M : 09382185488
Kochi Door No: XL/6503 – A, First Floor, T DRoad, 0484 2381388 2381399 Ms. Rashmi Dinesh (Branch In-charge) Mr. Pankaj ardeshi (Sr. Manager – South Region) Branch North End, Ernakulam,Kochi – 682 035 (Kerala) 3271022 M : 09387302251 M : 09382185488
CLAIM DOCUMENTS CHECK LIST
S.No. Cashless Claim Reimbursement
1 Claim intimation to MD India Claim intimation to MD India
2 Card issued by MD India Card issued by MD India
3 Photo identity card Photo identity card
4 Previous Claim History – If Any Photocopy of policy issued by IC
5 Claim form
6 Original attested discharge card
7 Original hospital bills
8 Original bill receipts
9 FIR/ MLC if applicable
10 Claim lodged amount
11All Investigation Reports – In Original
1) If the hospital is not empanelled with MD India than it should be minimum 15 bed hospital
2) Hospital should be registered with local authorities
3) If registration is not must in that state than hospital should have fully equipped operation theatre, round the clock qualified doctors & nursing staff
4) For list of emplaned hospitals refer www.mdindiaonline.com
5) For any kind of further quarry refer www.mdindiaonline.com