Customer approaches Bajaj Allianz Network Hospital for cashless treatment
Hospital verifies customer details & sends the Preauthorization Form duly completed, by fax to Bajaj Allianz – HAT (Health Administration Team)
Bajaj Allianz – HAT, verifies preauthorization request details with benefits & conveys decision to the provider
Approved
Authorization letter is sent to the provider
Provider treats the patient without any deposit till discharge
Query
Query letter is sent to the provider asking for additional information
Required additional information received from the Provider
Bajaj Allianz – HAT, verifies preauthorization request details with benefits & conveys decision to the provider
Denial
Denial letter is sent to the provider
Provider treats patient as cash paying
Customer may file the claim for reimbursement
Flexibility of choosing the covers. One has to mandatorily choose any one of three sections under base cover for all members, one can also choose two or all three sections. Under optional covers one has the flexibility to choose any number of covers