If you are the beneficiary of an insurance company, we will request you to please spare some time to understand the processing of insurance claims. Insurance companies have appointed TPA's (Third Party Administrator) to give you the facility of cashless claims. The claim is processed by the hospital which is further subjected to approval by your TPA.
"SBAMI Corporate desk" is only helping you to get your claim processed by TPA. In the event of the cashless authorization request being rejected by TPA, the patient has to pay the bill to the hospital and try to claim the expenses subsequently from the Insurance company or TPA.
Third Party Administrators (TPA) is an important link between insurance companies, policy holders & healthcare providers (hospitals and nursing homes). A TPA's role is to provide administrative support to the insurance companies for servicing their insurance policies.
In order to avail cashless facility, you are requested to submit the following documents to the hospital based on which the corporate desk will process your case.
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