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information in the pre-authorisation form will be collected from the patient. 4. WE AGREE THAT TPA / INSURANCE COMPANY WILL NOT BE LIABLE TO MAKE THE PAYMENT IN THE EVENT OF ANY DISCREPANCY BETWEEN THE FACTS IN THIS FORM AND
Cashless Claim Form and Pre-Authorization Request form (Part c) 9: ... Safeway Insurance TPA Pvt. Ltd; CIN No : U67200DL2004PTC129929 | IRDA Registration No: 26 Valid ...
SAFEWAY INSURANCE TPA PRIVATE LIMITED (IRDA LICENCE No .026) 1800-102-5671 c. 022-66466797 Cashless Request Email ID : info@safewaytpa.in TO BE FILLED BY INUSRED/PATIENT. REQUEST FOR CASHLESS HOSPITALISATION FOR HEALTH INSURANCE POLICY.
In case of a planned hospitalization, client needs to inform Safeway two to three days in advance by faxing us the pre-authorization form (form on Website) signed by the treating doctor.
All non medical expenses, OR expenses not relevant to hospitalization or illness, OR expenses disallowed in the Authorization Letter of the TPA / Insurance Co. OR arising out of incorrect information in the pre-authorisation form will be collected from the patient.
Welcome to Safeway Insurance TPA Pvt. Ltd. We have been licensed by I.R.D.A. As TPA in July 2005, and have setup our head office in New Delhi. We are fully equipped with I.T infrastructure like Server, Computers, Printers and a State of the Art Software.
Feb 29, 2024 · Fill out the pre-authorization form at the hospital and the hospital will initiate the cashless claim request to the Safeway TPA. 4 Issue cashless authorization
