Service PPT 22 23
Service PPT 22 23
Service PPT 22 23
Download E-Card
Claim Intimation
Cashless Status, Claims Status
View Profile
View Policy Details
View Enrolled Profile/s
Search PPN and Non PPN network Hospitals
Md India Health Insurance SPOC details
Branch Locator
Query and General FAQs
http://mdichatbot.mdindia.co
m/mdichat/mdichat.aspx
MDIndia > Services Offered
1) Log on to www.mdindiaonline.com
2) Click on My account
3) Select Corporate Employee Login.
4) For corporate employee if you are
not registered click on 'New User?'
5) Fill up the form for new user
6) Create your own user name &
password.
4
Corporate Employee assistance services
Employee interface through online dedicated portal: Employees can access
our Self Employee LoginID and Password and various wellness services
through this portal.
Portal Highlights:
Single window login to access enrollment, TPA and wellness services
Login is mapped as per employee ID; Password can be personalized by
the employees
Portal offers facility of online claim submission with soft copy upload,
facility of e-card download, policy T&C check, sum insured balance
update and real time claim/cashless status check
E-mailer alerts and SMS alerts for cashless/ claims status
Same Portal gives access to all services of wellness
Mobile app : All features of the Hawak can also be viewed /obtained on our
mobile App, on Android and IOS
24/7 IVR based call center : The call center can be accessed for assistance and
real time query resolution . We also back this up with 24/7 mobile helpline at
all locations .
Short SMS service for real time update of all transactions. Auto SMS is also
sent for all transactions on the registered mobile number. (91-8691863863)
5
Quick Link for Self Assistance
Hospital List https://mdindiaonline.com/ProviderList.aspx
https://mdindiaonline.com/E-Cardrequest.aspx
Instant E card
MDIndia
http://www.mdindiaonline.com/
Claim Status
https://mdindiaonline.com/Claimstatus.aspx?lt=c_all
07/10/2021
Discharge
Cashless Process Authorization •Insured to pay for all non-covered services
•Insured to approach network hospital •Our respective Doctor assesses the like, registration fees, telephone bills etc.
with doctor prescription and ID card pre-authorization request based on •Insured to verify and sign hospital bill and
•Insured to fill up Part 1 & 3 of pre eligibility. claim form and leave all original documents
authorization form •Query if any, is sent to hospital. Insured is at hospital.
•Hospital will fill part 2 and fax/ email/ also informed on phone/SMS/Email. • Xerox of relevant documents can be taken
upload to MD India TPA Pvt. Ltd •Authorization is given by the patient
Network Hospitals
Emergency Planned
Hospitalization
Claim Process Hospitalization
Reimbursement Claims
Insured will submit claims for non network hospitals and pre
and post hospitalization claims arising out of cashless hospitalization
7
MDIndia > Non-Cashless Claims Process
Is document
received/GI
Is claim TPA performs medical scrutiny of Intimated within
payable? the documents stipulated time as
Yes per t &C •Insured Must have a copy
Yes of all bills in electronic mode
No No or photocopy for future
reference also mentioned
updated Mobile Number and
Recommendation will send to IC Email ID in the claim form
with Justification for approval and
IC will allow or deny as per
justification
Is Payment to be made to
TPA checks document documentatio Claims processing done as Associate. The discharge
sufficiency n complete Yes per set Turn Around Time voucher and copy of payment
as required receipt to be sent within 3
working days to the member
No