IRDA sets 1 hour time limit to approve cashless claims in COVID-19 casestext_fields
New Delhi: The Insurance Regulatory and Development Authority of India (IRDAI) on Thursday directed insurance companies to to convey a decision on approving all cashless claims against COVID19 hospitalisation within an hour.
Further, the regulator also said in a circular that the decision on final discharge of patients covered in Covid-19 claims shall be communicated to the network provider within a period of one hour from the time of receipt of the final bill, along with all necessary requirements, from the hospital.
The IRDAI has given the directions in line with the High Court's directions in the wake of the prevailing conditions of COVID-19 cases in the form of the second wave.
"Notwithstanding the above outer limits of timelines specified, the insurers are advised to process such requests promptly so that both authorisation for cashless treatment and discharge of the patient can be be hastened to the maximum extent."
It further said that the insurers shall issue appropriate directions to their respective third-party administrators for ensuring compliance with the specified timelines.
(with inputs from IANS)