Cashless Approval Within 1 Hour: Good News for Policyholders! New Health Insurance Rules in India: Faster Cashless Approvals and More Support
The Insurance Regulatory and Development Authority of India (IRDAI) has released a new directive aimed at streamlining the cashless claims process for health insurance Link to IRDAI circular. Here’s a breakdown of the key changes:
Faster Cashless Approvals:
Insurers are now required to make a decision on cashless authorization requests within one hour of receiving them. This eliminates delays and ensures patients get quicker access to medical care.
Priority on Cashless Claims:
The new rules prioritize cashless settlements, minimizing the need for reimbursements. This reduces financial burden on patients and simplifies the claims process.
Dedicated Help Desks:
Hospitals may set up dedicated help desks with insurance representatives to assist patients with cashless authorization requests. This provides on-site support and guidance during the admission process.
Digital Pre-Authorization:
Insurers are encouraged to offer pre-authorization for planned procedures through digital channels. This allows patients to confirm coverage beforehand and avoid any surprises.
These changes aim to improve the cashless claims experience for health insurance policyholders in India, ensuring faster access to medical care and a smoother claims process.