In the past, cashless treatment was only possible if the patient was admitted to a network hospital (one that had a tie-up with the insurance company’s TPA).
But now, a new and powerful option is emerging — “Cashless Anywhere”!
Here’s everything doctors and hospital owners need to know.
🔍 What is “Cashless Anywhere”?
With Cashless Anywhere in health insurance:
- Patients can get cashless treatment even at non-network hospitals.
- Insurance companies directly settle the bills with the hospital.
- Patients don’t need to pay upfront and wait for reimbursement later.
âś… Better patient convenience
âś… Faster hospital payments (if documentation is proper)
âś… More insured patients choosing your hospital
🔥 Why “Cashless Anywhere” is the Future
- The IRDAI (Insurance Regulator) is pushing insurers to approve cashless claims within 1 hour.
- Patients expect cashless admission, even if your hospital is not on their preferred list.
- Hospitals offering cashless services anywhere will attract more patients and reduce OPD-to-IPD leakage.
đź’ˇ In short: Cashless Anywhere will become a strong competitive advantage for hospitals very soon.
đźš§ why do some insurance companies reject Cashless Anywhere cases?
- Not all insurance plans offer Cashless Anywhere (older or cheaper plans may not).
- Hospital compliance issues like missing Fire NOC, Biomedical Waste Agreements, or incomplete licenses.
- Fear of overcharging — insurers trust pre-negotiated pricing with network hospitals.
- Limited internal policy of some insurance companies — transition still ongoing.
🏥 How Hospitals Can Prepare for Cashless Anywhere
âś… Step 1: Keep All Documents Ready
- Fire NOC
- Biomedical Waste Disposal Agreement
- Hospital Registration Certificate
- Qualified Doctor and Consultant List
- Billing Software and Price Lists
- Clinical Establishment and Pollution Board Licenses
âś… Step 2: Introduce Yourself to TPAs and Insurers
Even if you don’t have formal empanelment, build relations with TPAs like:
- MediAssist
- Vidal Health
- FHPL
- Paramount
- HealthIndia
âś… Step 3: Update Billing and Pricing
- Have transparent, itemized billing.
- Maintain standard rates for surgeries, investigations, and consumables.
âś… Step 4: Create an Insurance Helpdesk
- Train staff to handle cashless pre-approvals and coordinate with insurance companies and TPAs.
âś… Step 5: Use Cashless Aggregators
- Agencies like Curelo, HexaHealth, and others help mid-sized hospitals manage cashless approvals for a small fee.
âś… Step 6: Educate Your Patients
Tell them clearly:
“Your insurance may allow Cashless Anywhere, but final approval depends on the insurer’s policy. We will assist you in getting the best possible support.”
🚀 Bonus Tip for Hospitals
Start building connections with insurance brokers and corporate TPAs.
👉 They can send insured patients to your hospital if you manage cashless claims smoothly.
📣 Want to Future-Proof Your Hospital?
The world of health insurance is changing fast.
If you want your hospital or clinic to stay ahead and attract more insured patients, you must prepare for Cashless Anywhere today.
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