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Delhi High Court wants cashless claims in every hospital. Here’s why insurers are fearing the worst.

Healthcare providers as well as patients feel the nexus between insurers, third-party administrators, and their preferred hospitals often causes unnecessary harassment during claims. Recent judicial intervention is seen to be paving the way for cashless claims by an insured patient at any hospital — irrespective of whether it is part of the insurer's network. But the industry is worried that this will open the floodgates for fraudulent claims.
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anujgupta
4 Jul 2019 6 Mins Read 0 comment
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If a recent Delhi High Court order finds traction across India, patients will soon be free to take medical care in a hospital of their choosing and file cashless insurance claims, without worrying if the hospital is on the network of their insurance provider. In two separate cases, Ahmedabad’s consumer forum ruled that insurance providers cannot pay less
running from door-to-door and gathering all documents they are asking. It seems like they are never going to pay,” Goyal’s father says. It is stories like this that have pushed the judiciary into strengthening the hands of the insurance buyer. Ultimately, such indiscretions of the insurance industry might come back to haunt it. ( Graphics by Sadhana Saxena)
If a recent Delhi High Court order finds traction across India, patients will soon be free to take medical care in a hospital of their choosing and file cashless insurance claims, without worrying if the hospital is on the network of their insurance provider. In two separate cases, Ahmedabad’s consumer forum ruled that insurance providers cannot pay less running from door-to-door and gathering all documents they are asking. It seems like they are never going to pay,” Goyal’s father says. It is stories like this that have pushed the judiciary into strengthening the hands of the insurance buyer. Ultimately, such indiscretions of the insurance industry might come back to haunt it. ( Graphics by Sadhana Saxena)

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