Insurance Empanelment

What is Insurance Empanelment?

Insurance Empanelment is the process of the hospital being registered as a member of an insurance network. The insurance network is the network of health insurance companies that offer health insurance services to the customers. Insurance Empanelment enables the hospital to offer cashless and hassle-free hospitalization benefits to the insured customers who have a health insurance policy from any of the insurance network members. Insurance Empanelment also helps the hospital to streamline the claim settlement process and reduce the administrative burden.

How to apply for Insurance Empanelment?

The hospital can apply for Insurance Empanelment by following these steps:

  • Fill the application form available at the insurance website or contact the insurance representative for the same.
  • Upload or submit the required documents, such as the hospital registration certificate, license, infrastructure details, tariff list, etc.
  • Respond to the queries or clarifications from the insurance, if any.
  • Get the hospital inspection done by the insurance, if required.
  • Get the final confirmation and agreement from the insurance.

The insurance may have different criteria and procedures for empanelment, depending on their policies and guidelines. The hospital should check the insurance website or contact the insurance representative for more details.

Major benefits of Insurance Empanelment
  • Increased customer footfall and revenue, as the hospital can cater to a large number of insured customers from various health insurance companies.
  • Improved customer satisfaction and loyalty, as the hospital can provide cashless and hassle-free hospitalization benefits to the insured customers.
  • Reduced claim rejection and delay, as the hospital can coordinate with the insurance for the pre-authorization and claim settlement process.
  • Enhanced reputation and competitiveness, as the hospital can be recognized as a quality and reliable health care provider by the insurance and the customers.