Common use of Pre-Authorization Clause in Contracts

Pre-Authorization. 18.1 Pre-authorization request will be sent only after admission and the patient will be there in the hospital as inpatient till final decision on the Preauthorization is made. (i) The Provider will submit the e-pre-authorization, after admitting the patient as in- patient, on the Aarogyasri Website completely in all aspects including the signed copy of consent of the Patient. (ii) All relevant test reports along with Digital photograph of the Beneficiary taken in the hospital should also be uploaded. Catheterization CD, MRI films, X-rays, biopsy reports will be uploaded, cytology and biopsy reports / slides should be submitted. (iii) The Provider agrees to upload the clinical photographs as required under the scheme taking due care of confidentiality of patient and follow the standard medical practices & ethics. 18. 2a Insurer undertake to approve the Preauthorization in consultation with the Trust indicating the relevant package rates within 12 working hours of the receipt of the request for pre-authorization form as well as the required data and information online.

Pre-Authorization. 18.1 Pre-authorization request will be sent only after admission and the patient will be there in the hospital as inpatient till final decision is given on the Preauthorization is madePreauthorization. (i) The Provider will submit the e-pre-authorization, authorization after admitting the patient as in- patient, patient on the Aarogyasri Website completely in all aspects including the signed copy of consent of the Patient. (ii) All relevant test reports along with Digital photograph of the Beneficiary taken in the hospital should also be uploaded. , Catheterization CD, MRI films, X-rays, biopsy reports will be uploaded, cytology and biopsy reports / slides should be submittedsubmitted by the Provider. (iii) The Provider agrees to upload the clinical photographs as required under the scheme taking due care of confidentiality of patient and follow the standard medical practices & ethics. 18. 2a Trust/Insurer undertake to approve the Preauthorization in consultation with the Trust panel doctors indicating the relevant package rates within 12 working hours of the receipt of the request for pre-authorization form as well as form, the required data and information online.