Cashless Hospital Delay Stopwatch & SLA Tracker

URGENT: STATUTORY CASHLESS SLA BREACH NOTICE To: TPA Helpdesk / Insurer Grievance Redressal Patient Name: [Patient Name] Hospital: [Hospital Name] Insurer / TPA: [Insurer / TPA Name] Claim / Pre-Auth Ref: [Claim / Pre-Auth Reference Number] Request Type: Final Hospital Discharge Cashless Authorization Submission Time: [Time submitted] Elapsed Time: 0m 0s Statutory Limit: 3 Hours (Final Discharge Approval) under IRDAI Master Circular (29 May 2024, Clause 7.2(ii)) STATUTORY NOTICE: The mandated statutory window for cashless discharge approval (3 hours) has been exceeded by 0m 0s. Under the IRDAI Master Circular dated 29 May 2024: 1. Insurers and TPAs are strictly mandated to convey cashless decision within the statutory time frame. 2. Under Clause 7.2, any additional hospital room stay charges or waiting fees caused by TPA/insurer delay in granting discharge authorization MUST BE BORNE BY THE INSURER, and CANNOT be billed to the patient. We request immediate cashless authorization within 15 minutes, failing which this delay is being escalated to the Principal Grievance Officer and the IRDAI Bima Bharosa Portal.