You play an integral part of the TPA process, to help us deliver top quality service for optimum customer satisfaction.
As our Network Service Provider (Hospitals & Nursing Homes, Ambulance Services, Diagnostic Services, Blood Banks), you must be already aware of what to do, when a customer shows TTK Healthcard (below) in your facility. However, we provided this section as a Ready Reckoner to aid you further... please click on the below links -
READY RECKONER
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Note : Authorisations for OPD are subject to the policy conditions and amount required for the same Hospital is to inform TTK about all OPD cases clearly in the Pre Authorisation Form.
We assure you the highest quality of services. This commitment is backed by the 72 year old TTK Group
Should you require any assistance drop us a mail at care@ttkhealthcareservices.com or call the local TTK Branch Office.
Billing and Paperwork
Please ensure you understand the documentation procedure, which is extremely important for us to process and settle your payments. After the discharge, please send the following to TTK branch office-
1) Original Final Bill with details of break-ups
2) Original discharge summary
3) Original supporting documents
4) Authorization letter given by TTK
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The following services should not be billed to TTK. These have to be collected from the patient directly 1) Amount in excess of the authorisation limit. 2) Registration / Admission fee. 3) Telephone charges. 4) Visitor's charges, attender charges, ambulance charges. 5) Service charges, charges for Diet not forming part of the treatment. 6) Other non-medical expenses/ bills.
In case the patient requires the original discharge summary, the same will have to be collected from the insurance company after the claim has been settled..
Payment Time
On receipt of the bills with the supporting documents, TTK will pay the bills as per the MOU between your hospital and TTK.
For further information
Contact the nearest TTK Branch office located in your area.
Here's what you should do, when a TTK Healthcard member comes to your facility for planned admission:
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Check if the TTK Health cardholder has informed TTK prior to admission and has the Authorisation letter in hand.
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Meanwhile admit immediately when approached to you for medical admission
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If patient comes without pre-authorisation approval, then please have a Pre-Authorisation form (Annexure A) available with your Billing/Admin dept, filled and faxed to the nearest TTK Branch Office.
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We will need a maximum of 4 days and a minimum of 24 hours to process and authorise an Authorisation.
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Once the authorisation is received, please proceed with the treatment and upon patient discharge forward the bills (see billing & paperwork section) to TTK Branch office
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Please ensure an Authorisation approval is received with you prior to discharging patient from the hospital
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If an Authorisation is rejected, then it only means that cashless access is declined, AND IS IN NO WAY TO BE CONSTRUED TO BE DENIAL OF TREATMENT.
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Please collect the amount to be paid towards hospitalisation from the patient upon his discharge, in such cases.
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Please ask the policy holder to contact TTK Branch office directly to sort any issues pertaining to rejections.
Outpatient Admissions
Authorisations for OPD are subject to the policy conditions and amount required for the same Hospital is to inform TTK about all OPD cases clearly in the Pre Authorisation Form.
Here's what you should do, when a TTK Healthcard member comes to your facility in Emergency.
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You will admit TTK Health cardholders immediately when approached to you for Emergency medical admission.
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A relative and the treating doctor/ surgeon can fill the pre-authorisation form and can be faxed for approval, within 3 hours of the admission.
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We will need atleast 6 hours to process and authorise an Authorisation and a maximum of 24 hours.
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Once the authorisation is received, please proceed with the treatment and upon patient discharge forward the bills (see billing & paperwork section) to TTK Branch office.
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Please ensure an Authorisation approval is received with you prior to discharging patient from the hospital
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If an Authorisation is rejected, then it only means that cashless access is declined, AND IS IN NO WAY TO BE CONSTRUED TO BE DENIAL OF TREATMENT.
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Please collect the amount to be paid towards hospitalisation from the patient upon his discharge, in such cases.
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Please ask the policy holder to contact TTK Branch office directly to sort any issues pertaining to rejections.
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TTK Healthcare TPA Private Limited 