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  TPA Service - MD India  
     
 
About MD India
MDIndia Healthcare Services (P) Ltd
IRDA License No: 005
 
CLAIM RATIO OF SERVICING U/Os
Claim Ratio’s Vary Between 49% (Being the Best) and 82% (Being the Worst)
 
Statewise Hospital List of MD India
State
No. of Hospitals
State
No. of Hospitals
ANDHRA PRADESH
383
ARUNACHAL PRADESH
3
ASSAM
67
BIHAR
23
CHANDIGARH
19
CHATTISGARH
10
DADRA NAGAR HAVELI
1
DAMAN & DIU
2
DELHI
235
GOA
42
GUJARAT
569
HARYANA
124
HIMACHAL PRADESH
18
JAMMU & KASHMIR
12
JAMMU AND KASHMIR
1
JHARKHAND
25
KARNATAKA
399
KERALA
163
MADHYA PRADESH
151
MAHARASHTRA
1137
MANIPUR
3
MEGHALAYA
1
MIZORAM
4
NAGALAND
5
NEW DELHI
5
ORISSA
16
PONDICHERRY
11
PUNJAB
146
RAJASTHAN
117
SIKKIM
1
TAMIL NADU
456
TRIPURA
1
UTTAR PRADESH
375
UTTARAKHAND
2
UTTARANCHAL
27
WEST BENGAL
199
 
CASHLESS AUTHORIZATION…..
•We Train Hospitals on Regular Basis on Cashless Authorization Procedure
•MDIndia Approves/rejects Cashless Authorization Requests With in 4-8 Hrs.
•The Cashless Treatment is Authorized As Per SOC
•In Case of Denial of Cashless, MDIndia Retains the Right Not to Disclose the True Reason
•In Case of Any Document Deficiencies/queries, U/O’s Are Requested to Respond to the Deficiencies Faster to Provide Prompt and Speedy Services to the Insured
 
PROCESS FOR CASHLESS AUTHORIZATION…..
•Valid Insured Person
–Policy Copy
–VB 64 Compliance
–With-in MDIndia Service Period
•Coverage of Illness Under Policy
–Pre-Existing
–1st Year Exclusions
–30 Days Waiting Period
–Exclusion 4.4 to 4.13
–Any Tailor Made Provisions
•Necessity Of Hospitalization
–Clinical History
–Investigation Results
–Treatment Already Undergone
–Duration of Stay
•Necessity of Medical Expenses Planned
–Based On Investigation Results
–Historical Experience
–Evidence Based Medical Practice
–Concurrent Illnesses
•Probable Medical Expenses
–As Per SOC
–Consumables, Disposables & Implants (Customary & MRP)
 
CLAIMS PROCESSING & PAYMENT….
•Cashless Claims
–Photo Identification is Mandatory to Ascertain Identity of Patient
–Authorization Letter Carries Photograph of the Patient for Physical Verification
–Authorization Amount Payment is Subject to Genuineness of Information Provided at the Time of Hospitalization, Subject to Necessity & Schedule of Charges
•Reimbursement Claims
–All Claims Are Subject to Rigorous Processing & Audit
–VB 64 Compliance Are Obtained From U/O, if Necessary
–Claim History (Paid & Repudiation) From U/O for Chronic Ailments
–1st Year Claims Other Than Infectious Diseases, Accidents & Below 25,000/- Are Subject to Rigorous Audit
–CB Confirmation is Necessary to Avoid Wrong Payments
–We Intend to Implement MDIndia Claim Form, Which Will Reduce Deficiency in Primary Information
 
CALL CENTER….
•We Maintain 24x7 Toll Free Call Center At Pune :   1600-233-1166 (10 Lines)
•We Also Offer Toll Free Fax Line to All Our Customers :   1600-233-4505 (3 Lines)
•We Have Qualified & Trained Medical Professionals Supervising the Call Center
•All Branch Offices Phones Are Diverted to Mobiles After Office Hours
•Call Center Acts as CUSTOMER CARE
 

MDINDIA HEALTHCARE SERVICES P. LTD.

BRANCH OFFICE ADDRESS/CONTACT NOS (Updated on: 24/02/2007)

Sr. Branch Office Address & contact

1.

Indore Branch

FF-124/125, Palika Plaza, MTH Compound,
Indore-452001.
Tel. No. : 0731- 2549999
Fax. No. : 0731- 2549888
indore@mdindia.com
www.mdindia.com

2. Ahmedabad Branch

Sukhsagar Complex, 806/807, 8thFloor, Usmanpura,
Near Fortune Landmark Hotel, Ashram Road,
Ahmedabad-380013
Tel. No.  : 079- 27560006
Fax  No. : 079- 27560057
ahmedabad@mdindia.com
www.mdindia.com

3. Mumbai Branch

101, 1st Floor, Comet Building,
Opp. Bandra Talao, Gurunanak Road,
Bandra (W), Mumbai – 400 050.
Tel. No :   022-26451781
Fax. No :  022 - 26451638
mumbai@mdindia.com
www.mdindia.com

4. Pune Branch

MDIndia House, S.No. 147/8, First Floor,
Near Kothrud Petrol Pump,  Karve Statue Circle,
Kothrud, Pune – 411038.
Tel. No : 020 –25300006
Fax No : 020- 25300010
pune@mdindia.com
www.mdindia.com

5. Nagpur Branch

51/A, 2nd Floor, Dr. Bhiwapurkar  Marg, Dhantoli,
Nagpur - 440 010
Tel. No.: 0712-2420391
Fax No.: 0712-2420393
nagpur@mdindia.com
www.mdindia.com

6.

Goa Branch

115/9, 3rd floor, Nevrekar Chambers, Above ING Vysya Bank, M.G. Road, Panjim –403001
Tel.No. : 0832 – 2421982
Fax No.: 0832-2425466
goa@mdindia.com
www.mdindia.com

7. Baroda Branch

216, Lalita Towers,
Behind Railway Station,
Near Hotel Rajpath,
Dinesh Mills Road,
Baroda - 390005.
Tel.No.  : 0265-2320602
Fax No.  : 0265-2323244
baroda@mdindia.com
www.mdindia.com

8.

Surat Branch

904, Meridian Towers, 9th Floor, Near  Rajkumar Cinema, Udhana Darwaja, Ring Road, Surat - 395002
Tel.No.  : 0261- 2343009
 Fax No.: 0261 – 2345335
 surat@mdindia.com
 www.mdindia.com

9.

Kolkata Branch

169, Sarat Bose Road, 2nd floor,
Kolkata - 700026
Tel No.  :  033-24632726
Fax No. : 033- 24656633
kolkata@mdindia.com 
www.mdindia.com

10. Chennai Branch

1402, H Block, 15th Main Road,
Anna Nagar, Chennai- 600040
Tel.No. : 044- 26162386
Fax No. : 044-26164000
chennai@mdindia.com
www.mdindia.com

11. Delhi Branch

E-98, II Floor, Lajpat Nagar –II,
New Delhi – 110024
Tel.No.  : 011- 29811840
Fax No. : 011-29811838
delhi@mdindia.com
www.mdindia.com

12. Hyderabad

3-6-562/1, Above Gayatri Bhavan Hotel, Himayatnagar, Hyderabad-500029.
Tel.No. :  040 –27673865, 27673864, 27673863
Fax No. : 040-27673881
hyderabad@mdindia.com
www.mdindia.com