Network Hospital Kya Hota Hai? Aur TPA Ka Role Kya Hai
Health insurance lene ke baad bahut log ek term sunte hain – Network Hospital. Lekin sach ye hai ki zyada tar log iske meaning aur importance ko theek se nahi samajhte.
Network Hospital Kya Hota Hai?
Network hospital wo hospital hota hai jo insurance company ya TPA ke saath tie-up me hota hai. Agar aapka ilaaj network hospital me hota hai, to aap cashless treatment ka fayda le sakte hain.
Iska matlab:
- Hospital bill ka payment insurance company karti hai
- Aapko poora paisa pehle se dene ki zaroorat nahi hoti
TPA Kya Hai?
TPA (Third Party Administrator) insurance company aur hospital ke beech ek bridge hota hai.
TPA ka kaam hota hai:
- Cashless claim process handle karna
- Documents verify karna
- Hospital aur insurance company ke beech coordination
Network Hospital Kyon Zaroori Hai?
Agar hospital network me nahi hai:
- Aapko pehle poora bill pay karna padta hai
- Baad me reimbursement claim karna hota hai
- Process lamba aur stressful ho sakta hai
Network Hospital List Kahan Check Karein?
Aap network hospital ki list yahan se check kar sakte hain:
- Insurance company ki official website
- TPA ki website
- Policy document / welcome kit
- Insurance company customer care number
Admission Se Pehle Kya Check Karein?
- Hospital network me hai ya nahi
- Aapki policy us hospital ke liye valid hai ya nahi
- Room rent aur treatment limits
Yaad rakhein: Network hospital ka sahi knowledge aapko emergency ke time paisa aur tension dono se bachata hai.
Hospital Me TPA Desk Ka Sahi Istemaal Kaise Karein
Jab bhi koi patient hospital me admit hota hai, wahan ek counter hota hai jise TPA Desk / Insurance Desk / Cashless Desk kaha jaata hai.
Ye desk insurance claim process ka sabse important hissa hota hai, lekin bahut log iska poora fayda nahi utha paate.
TPA Desk Kya Kaam Karta Hai?
- Cashless approval process start karta hai
- Insurance documents verify karta hai
- Hospital aur insurance company ke beech coordination karta hai
Admission Ke Time Kya Karein?
Doctor ke admission advice ke baad turant TPA Desk par jaayein aur ye documents dikhayein:
- Insurance card ya policy number
- Patient ID proof
- Doctor ka admission note
TPA Desk Par Kaun Se Sawaal Zaroor Poochhein?
- Cashless approval start hua ya nahi
- Approval me kitna time lagega
- Kaun se charges cover honge
- Room rent limit kya hai
Documents Ko Smart Tarike Se Kaise Handle Karein?
- Har document ka photo mobile me rakhein
- Sab receipts sambhaal kar rakhein
- Form samajh na aaye to poochhein
Discharge Ke Time TPA Desk Ka Role
Discharge se pehle confirm karein:
- Final bill approval aa gaya hai
- Insurance aur patient ka share kitna hai
Agar Cashless Reject Ho Jaaye?
Ghabraayein nahi. TPA Desk se poochhein:
- Reject ka exact reason
- Reimbursement claim possible hai ya nahi
Ek Zaroori Sach
“Hospital me patient ka ilaaj hota hai, aur TPA Desk par jagruk attendant paisa bachata hai.”
Final Advice: Respect se baat karein, lekin sawaal poochhne se kabhi mat dariye.