Documents needed for cashless claim approval
Gather these records before your admission date to ensure prompt pre-authorization from your insurance provider and Third Party Administrator (TPA).
Government photo identification
Aadhaar Card, Passport, or Voter ID for the patient and primary policyholder.
Health insurance e-card / policy copy
Current valid policy schedule with policy number, member ID, and designated TPA name.
Corporate employee ID card
Required if covered under a group corporate insurance policy through an employer.
Consultation notes & surgeon prescription
Official OPD consultation papers from Dr. Nitin Rimmalapudi recommending hernia repair.
Diagnostic scan reports & films
Original ultrasound (USG), CT scan films, and radiologist findings confirming hernia type.
Past surgical summaries & treatment records
Discharge summaries or medical records if you have had previous abdominal procedures.
Scan clear PDF copies
Store high-resolution phone scans or PDFs of all cards and scan reports in a folder on your smartphone.
Keep policyholder details ready
Note down the registered mobile number and email ID linked with your insurer to receive instant OTP verifications.
Pre-auth submission timeline
Submit documents at our hospital TPA desk 48 to 72 hours before planned admission for smooth cashless clearance.
Accepted insurance and TPA network
We coordinate directly with major health insurance companies and Third Party Administrators (TPAs) across Apex Hospitals and Delta Hospitals in Rajahmundry for pre-authorization and cashless hernia surgery.
Apex Hospitals
Partner CentreDedicated laser & advanced laparoscopic centre (Est. 2004)
Delta Hospitals
Partner Centre220-bed multispecialty tertiary surgical hospital
Do not see your insurance provider listed? Over 40+ additional corporate health policies, government welfare schemes, and cooperative TPAs are processed on request.
Need help checking your policy coverage?
Bring your insurance card, Aadhaar card, and clinical prescription to our front desk, or send digital copies beforehand. Our coordinator handles pre-authorization requests, queries, and claim status tracking with your insurer.
Monday to Saturday: 9:00 AM – 6:00 PM. Have your policy number and doctor consultation note ready for faster checks.
Corporate Empanelment
Our corporate tie-ups provide comprehensive employee health coverage for leading organizations.
ONGC
Andhra Papers
Hindustan Unilever
GAIL
Airports Authority
BSNL
IOCL
ITC
How cashless hospital claims work from admission to discharge
Our dedicated insurance desk handles pre-authorisation, daily documentation, and TPA settlements directly, so you and your family can focus entirely on surgery and recovery.
Key procedures
- Verification of pre-approval letter or on-spot emergency intake submission
- Collection of active policy documents and primary insured identification
- Allotment of room category according to policy eligibility and surgeon guidance
Key procedures
- Daily submission of medication charts, surgical logs, and pharmacy vouchers
- Processing enhancements or additional sanction requests if required
- Regular updates provided to family members regarding claim status
Key procedures
- Discharge summary, operative notes, and pharmacy receipts dispatched
- TPA audit and final approval letter issued directly to hospital desk
- Direct cashless disbursement from insurance provider to hospital
Key procedures
- Itemised receipt detailing TPA approved sum vs non-medical expenses
- Handover of original discharge summary, lab reports, and medication schedule
- Post-operative follow-up appointment confirmation with Dr. Nitin
Important guidelines for cashless hospitalisation
Non-medical expense policy
Standard insurance policies exclude consumables such as administrative charges, thermometers, food charges for attendants, and admission fees. An itemised invoice is shared transparently before discharge.
Room rent capping guidelines
If you select a room category above your policy entitlement, proportional deductions may apply across surgical and hospital charges as per your TPA terms.
Network hospital coordination
Cashless facilities are coordinated seamlessly across our partner surgical centres in Rajahmundry, including Apex Hospitals and Delta Hospitals.
Have questions about your insurance or TPA network?
Our insurance desk at Rajahmundry can verify your policy details prior to consultation.