Appeal with the insurer
We help you draft an appeal letter with the medical rationale. About a third of initial denials get reversed on appeal. Takes 5-10 days.
If you're paying cashless, we begin pre-authorisation with your TPA before you walk in. If you're paying out of pocket, we give you a detailed estimate within four hours of consultation. Either way, the number on the bill is the number we quoted.
tbd Dedicated TPA desk phone, hours, and named officer to be confirmed with the CTS administration before launch. Current numbers route through the main reception.
At the time of booking - or any time before admission - tell us your insurance provider, policy number, and TPA name. We verify empanelment within the same business day. If your insurer isn't on our list, we tell you so you can plan accordingly.
The TPA desk submits your estimated treatment plan and cost to your insurer for cashless pre-authorisation. Most insurers respond within 24-48 hours. We confirm the approved sum, your room-class eligibility, and any procedure-specific exclusions before your admission date.
You arrive with your policy card, photo ID, and any prior reports. No cash deposit. The treatment proceeds. If costs exceed the approved sum during treatment, we request additional authorisation in real time - this almost never delays care.
At discharge, the final bill is sent directly to your insurer for settlement. You pay only the policy excesses, co-payments, and any items outside policy coverage. We hand you a clear settlement statement so you know exactly what was paid and by whom.
Original or digital copy. Some insurers accept screenshots of the policy app.
Aadhaar, PAN, passport, driving licence, or voter ID.
From the consultation that led to the admission.
X-rays, MRIs, blood tests from earlier treatment. Originals or copies.
One attendant is allowed per patient. They will be needed for consent signatures and post-discharge transport.
Anything you're currently taking - including supplements. Critical for anaesthesia safety.
Pre-authorisation can be denied for several reasons: the procedure isn't covered under your policy, the room class isn't covered, a pre-existing condition exclusion applies, or your policy has a waiting period that hasn't elapsed.
If it happens, we tell you immediately. Three options:
We help you draft an appeal letter with the medical rationale. About a third of initial denials get reversed on appeal. Takes 5-10 days.
You pay the bill upfront, then submit for reimbursement after discharge. We provide the full paperwork the insurer needs. You typically recover 60-95% depending on policy terms.
For the portion not covered, we have EMI tie-ups with Bajaj Finserv, HDFC, and Arogya Finance. Up to 24 months, subject to credit approval.
If your insurer isn't listed, call the TPA desk - we may be empanelled and the website list is out of date, or we may be able to convert your admission to reimbursement.
tbd Confirm with CTS administration: CMCHIS (Chief Minister's Comprehensive Health Insurance Scheme - Tamil Nadu), PMJAY (Pradhan Mantri Jan Arogya Yojana), ESI (Employees' State Insurance), CGHS (Central Government Health Scheme), Railways, and Defence ECHS empanelment status before launch.
A 5-minute phone call with the TPA desk will confirm your empanelment, your room-class eligibility, and the broad strokes of pre-authorisation for your specific procedure.