eCashless from Medi Assist gives a boost to cashless hospitalization

CIOReview Team | Tuesday, 27 December 2016, 07:07 IST

Medi Assist, a leading managed care organization and India’s largest Third Party Administrator (TPA), has launched eCashless, a feature on their MediBuddy mobile app that allows members to get a provisional preauthorization for a cashless hospitalization before walking into the hospital.

“Customer experience at the time of hospitalization is a true litmus test for us as enablers of cashless hospitalization, and therefore, a major area for transformation and innovation,” says Satish Gidugu, COO, Medi Assist. “First, we introduced the MediBuddy+ hospital portal that allows hospitals to eliminate faxes and emails, and raise all preauthorization requests online. We then introduced the CareRanger program where we visit patients by the bedside during their stay at the hospital. eCashless is our next initiative to enable a superior experience even before our members walk into the hospital.”

With eCashless, Medi Assist members are able to plan their hospitalization comfortably from home or office using their MediBuddy mobile app. Members raise a request for preauthorization for treatment at their preferred network hospital and also indicate their preferred room type. The network hospital receives this request from Medi Assist online, confirms availability of room and provides an estimate for the treatment. Based on the confirmation from the hospital, Medi Assist sends a passcode-protected provisional preauthorization letter to the hospital. Simultaneously, the member receives a secure passcode on the mobile app confirming the provisional approval.

The use of the secure passcode ensures full security of the transaction. The hospital “unlocks” the provisional preauthorization only upon receipt of the secure passcode and after due validation of the patient with a valid photo ID proof at the time of walk-in. This significantly reduces the wait time at the TPA desk on the date of admission.

Members can subsequently track their claim in real-time, anytime and from anywhere using MediBuddy.