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26th July 2016, 11:50 AM
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Join Date: Aug 2012
Re: Guidelines by IRDA

In an attempt to improve service standards in the health insurance sector in India, Insurance Regulatory and Development Authority (IRDA) issued guidelines standardizing 46 most commonly used definitions/terms/conditions in health insurance policies.

The guidelines also include definitions of eleven common critical illnesses covered under various health insurance policies in India.

The guidelines provided by Insurance Regulatory and Development Authority (IRDA) on Standardization in Health Insurance in India are as follows:





Guidelines on Standardization in Health Insurance

1. Standard Definition for 46 com m only used term s in health insurance policies

2. Standard Nomenclature and Procedures for Critical Illnesses

3. Standard Pre-authorization and Claim form

4. Standard List o f Excluded Expenses in Hospitalization Indemnity policies

5. Standard File and Use Application Form, Database Sheet and Customer
Information Sheet

6. Standard agreement between TPA & Insurer and Provider (Hospital) & Insurer
Attached Files
File Type: pdf Guidelines by IRDA.pdf (1.98 MB, 280 views)


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