MDINDIA HEALTHCARE SERVICES (TPA) PVT. LTD.
An ISO 9001:2000 Company
BHAI GHANHYA SEHAT SEWA SCHEME
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Health Care Scheme for Punjab Farmers & Others
BHAI GHANHYA SEHAT SEWA SCHEME
Obejctive
To make equitable, affordable & quality health care accessible to the farmers & others comprising most vulnerable section of the society.
MDINDIA
Implementing Agency (TPA)
Issue I.D Cards and Guide Book containing all the details of the Scheme, List of Network Hospitals and Contact details of the offices of TPA, to all the Beneficiaries.
Empanel Network Hospitals at Bhai Ghanhya Schedule of Rates across the State of Punjab.
Issue Authorization Letter (Approval letter) to the Network Hospital for cashless treatment of the beneficiary in the Network Hospital.
Established one controlling office in Mohali and four Branch offices in Amritsar, Jalandhar, Ludhiana and Firozpur.
Station 1 District Coordinator in each district of Punjab.
Establish 24 hrs functioning, dedicated BSNL Toll Free No./Help Line no.
Process and settle the claims of Network Hospitals.
Process and settle the reimbursement claims of beneficiaries who have taken treatment at the Government Hospitals.
ICICI LOMBARD
Insuring Agency (Insurer)
Has signed Service level Agreement (SLA) with the Trust, thereby undertaking to execute and implement the Scheme in accordance with the terms and conditions as contained in the SLA.
Has appointed MD India in capacity of a Third Party Administrator (TPA) to implement the Scheme.
All financial and legal obligations/responsibilities arising consequent to the operationalization of the Scheme by the TPA, shall rest with the Insurer.
Shall provide Enrollment Forms at all the offices of Deputy Registrars.
Shall provide floatfund to the TPA for settling cashless hospitalization claims of the Network Hospitals and reimbursement claims of the beneficiaries, who have taken treatment in the Govt. Hospital.
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