Insights · Claims
Nine reasons cashless claims get rejected, and how to stop each one
In short
The most common causes of cashless claim rejection in Indian hospitals are policy details captured incorrectly at registration, missing or illegible documents, treatment falling within a policy waiting period, room rent limits exceeded, non-payable consumables billed without patient consent, tariff charged above the agreed package rate, pre-authorisation not obtained or not enhanced, discharge summary inconsistent with the billed procedure, and claim submitted after the payer's time limit.
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