Hospital Empanelment

Revision to the Hospital Empanelment Process with Health Insurers , TPAs – Notification from IRDAI

Notification on Standards and Benchmarks for the Hospitals in the Provider Network 

IRDAI has released a notification on 20^th July, 2022 with an advisory to Non Life Insurers and TPAs about on boarding Hospitals under Cashless Empanelment Scheme and the changes to the Standards and Benchmarks Criteria laid down for the Hospitals earlier.

This advisory calls for Insurers choosing their own empanelment criteria for Hospitals and updating the same in their respective websites for the benefit of industry and stakeholders , as updated from time to time.

IRDAI has suggested to Board of Insurers to consider the Minimum Resources and Infrastructure conditions that prevail in wide range of Hospitals across the country while empanelling the Hospitals. The insurers are now empowered to empanel the network providers that meet the standards and benchmarks criteria as specified by their respective boards. The board approved empanelment criteria shall be published in the website of the insurers from time to time.

This advisory enables Insurers to extend the scope of coverage of cashless scheme to wide range of healthcare facilities in the country. While empaneling network providers for cashless facility, insurers are also advised to focus on the delivery of quality healthcare services.

These instructions come into force with immediate effect.

Download the Advisory from the link below

Source : https://www.irdai.gov.in/