No More Waiting! IRDAI Imposes 3-Hour Deadline On Health Insurance Claim Settlements
Insurer shall grant final authorisation within three hours of the receipt of discharge authorisation request from the hospital.
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Insurer shall grant final authorisation within three hours of the receipt of discharge authorisation request from the hospital.
The IRDAI stated that in emergency cases the insurers must decide on cashless authorisation requests immediately.
The circular said, "To decide on cashless authorization requests immediately and within one hour and final authorization on discharge from hospital within three hours of request from the hospital." This, as in many cases, hampered processing can delay the eventual discharge and could increase the cumulative fee on account of an extended stay.
The Insurance Regulatory and Development Authority (Irdai) revoked 55 previously issued circulars and has issued a master circular providing strict timelines fo
The Insurance Regulatory and Development Authority of India has released a comprehensive master circular to improve inclusive health insurance and empower policyholders. The circular mandates that insurers decide on cashless authorisation within one hour and final authorisation on discharge from hospital within three hours of request