Paragraph match score 81.1%
Page A-021
Cashless vs reimbursement: two ways a bill is settled under Indian health insurance
Under cashless settlement, the hospital coordinates directly with the insurer or TPA and the policyholder generally does not pay the admissible amount upfront; under reimbursement, the policyholder pays first and claims the amount back afterward.
Page A-034
Cashless treatment: how the process works at a PPN hospital
At a network hospital, the hospital typically coordinates directly with the insurer or TPA for pre-authorisation and final bill settlement, so the policyholder generally does not pay the admissible amount upfront, subject to the policy's cashless terms.