7/26/2019 Pre Auth
2/2
USEFUL INFORMATION FOR HOSPITALS: 1!#is side NO! to be "axed to
!!82
3! Pre=aut#ori*ation "orm s#ould be "illed 9it# due care. All
columns are re>uired to becompleted in bloc( letters.
7! It s#ould reac# us at least ? days prior to li(ely date
admission. In case o" emergencyadmission 9it#in ? #ours a"ter
admission.
@! Aut#ori*ation could be denied i" complete in"ormation is not
pro%ided or >ueries are notreplied to.
6! Discrepancy in in"ormation pro%ided by t#e #ospital records
"ound at t#e time o" claimmay render t#e aut#ori*ation gi%en
&'++ a&d *o$d and t#e amount claimed by t#e#ospital 9ould
#a%e to be settled by t#e insured to t#e #ospital.
8! Any c#arges Diagnosis ) !reatment plan s#ould be intimated
#or# d$/>ar%# o >#.a$#&!
;! All >uires by us need a reply at t#e earliest or at least
$>$& 76>r!
9! $e>uest "or aut#ori*ation ) en#ancement 9ill not be
entertained a#r d$/>ar%# o >#.a$#&.
4! 6e promise to "ax t#e aut#ori*ation denial letter to t#e
concerned #ospital $>$& 76>o'ro" complete and correct
in"ormation being pro%ided.
! I" clinical details pro%ided are insu""icient; t#ere may be a
delay in t#e aut#ori*ation ordenial "or cas#less access.
IN CASE OF ANY DIFFICULTY KINDLY CONTACT
BRANCHES TELEPHONE NOPLEASE SEND PRE-AUTH REQUEST TO THE
FOLLOIN FA1 NOS!( AM ; PM)
5angalore @@=?@BF @@=@?G ) @?G ) @HFF ) @H?
C#ennai @??=?G???? @??=?@?H?H
Coimbatore @?=?GBHH ) ?GBH?B @?=?GBH@G
&yderabad @?@=HHFHGH ) HHF@FB @?@=HHF@HF
8oc#i @??=H@ ) HH ) HG?@@@ @??=HG
Ne9 Del#i @BB=?B?@@FH ) G @BB=?B?@@F
Pune @@=HG?B ) HG @@=HHGBB
Mumbai @=H@@?G ) H@@HB @=H@@BBF
8ol(ota @HH=?BH ) B ) BH@B @HH=?BH
0i*ag @GB=F?HB ) F@BGF @GB=FHGG
Ba&%a+or#: 76 9 Co*#ra%#T#+#.>o No : 545-65378;94 Fa :
545-787567; 7875674
To++ Fr## P>o : 3455-678-94944448 To++ Fr## Fa :
3455-678-7;7;
