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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.
Page A-341
How does cashless health insurance work?
After admission, the insured must inform the hospital and submit their health insurance policy details. The hospital then initialtes a cashless pre-authorisation request with the insurer or TPA, and upon approval, approved expenses are settled directly with the hospital.