Please Quote This Reference Number in All Future Correspondence
Please Quote This Reference Number in All Future Correspondence
Please Quote This Reference Number in All Future Correspondence
To,
Dear Partner,
With reference to your request (18891386) for final cashless pre authorization, we here by approve INR (22500) against your final bill amount INR (25000). The
details of the claim are as follows:
Patient Details
IP No. NULL
Employee ID 547855
Insurer Claim No
Treatment Details
Summary of Authorisation
Deductions
Non-Medical Expenses 0
Full and final approval, approved as per package. 10% co pay deducted.
Please note that the amount authorised is provisional and is subject to change based on the final bill and discharge summary, and deduction of TDS, as
applicable.
QUICK LINKS:
Warm Regards,
Disclaimer: The TPA extends the cashless facility subject to the standard terms & conditions of the policy and the information provided in the cashless request form. We suggest that the
patient continues with the treatment as advised by the treating doctor, irrespective of the pre-authorization/cashless facility.
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