Billing & Insurance

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Insurance & TPA Services

Cashless cancer care, without the paperwork weight

Our Insurance & TPA desk handles pre-authorisation, claim documentation, and insurer follow-up for every admission — so you can stay focused on treatment, not forms.

Talk to the insurance desk
S.No. 557/A/A/15C, Hissa No. 17/1, Plot No. 158/1, Gultekadi, Market Yard, Pune, Maharashtra 411037. Open 24 hours.
Email your documents
First, the basics

What a TPA actually does for you

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A Third Party Administrator (TPA) is a licensed intermediary that processes your health insurance claim on the insurer's behalf — verifying your policy, approving cashless treatment, and settling the bill directly with the hospital.

At Prolife Cancer Centre, the Insurance & TPA desk works this process on your behalf, end to end:

  • Initiates and processes cashless claims for chemotherapy, surgery, and radiation
  • Files pre-authorisation before planned treatment begins
  • Prepares and verifies all billing documentation
  • Follows up on claim status until it's settled
  • Guides reimbursement claims if cashless isn't approved
Coverage

Is cashless treatment available here?

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Yes. Prolife Cancer Centre has availed cashless facility for patients covered under empanelled insurers, subject to policy terms and pre-authorisation approval.

We are empanelled with:

Government & public health schemes:

Government and public health insurance schemes accepted at Prolife Cancer Centre
Before you're admitted

Documents you'll need

  • Cashless card, or policy paper (current and previous year)
  • PAN card or Aadhaar card showing date of birth
  • Doctor's prescription and recent diagnostic reports

Submit these ideally 5 days before a planned surgery, or at minimum 12 hours before. In an emergency, admission can proceed immediately while the cashless process runs in parallel.

Step by step

How the cashless claim moves

01
Documentation

Submit your documents

In person at the hospital, or emailed to Social.prolife@gmail.com.

02
Filing

Pre-authorisation is filed

The Insurance desk submits your signed pre-approval form to the TPA on your behalf.

03
Approval

Approval comes through

Sanctioned amounts typically arrive within 24 hours of document submission, released in two parts — an initial approval before admission, and a final approval at discharge.

24 hrs
04
Admission

Treatment proceeds

You're admitted once the initial sanction is confirmed by your insurer.

05
Discharge

Discharge is processed

Final bill and discharge summary are submitted to the TPA, and discharge is typically completed within 2 hours of submission.

2 hrs

Non-medical charges — registration fees, food for attendants, private nursing, ambulance — aren't covered by insurance and are payable directly, per standard TPA terms.

If things don't go smoothly

What if my claim is rejected?

You have two paths forward, and our desk supports either one:

  • Reimbursement — we prepare a completed claim form and documentation for you to submit directly to your insurer.
  • Self-pay — proceed with treatment now, while the team assists with any appeal or resubmission.
Common questions

Frequently asked

Yes. Prolife Cancer Centre offers cashless hospitalisation for chemotherapy, surgery, and radiation for patients covered under empanelled insurers, subject to policy terms and pre-authorisation.
Typically within 24 hours. Sanctioned amounts are usually released in two parts — initial approval before admission, final approval at discharge.
A cashless card or current/previous policy paper, plus a PAN or Aadhaar card showing date of birth. Submit at least 5 days before a planned surgery, or 12 hours before in urgent cases.
Yes — in emergencies, admission can proceed immediately while the cashless process runs in parallel.
The Insurance & TPA desk helps you pursue reimbursement with a completed claim form and documents, or you can proceed with self-pay while any appeal is handled.
We're empanelled with Bajaj Allianz, HDFC ERGO, SBI General, The New India Assurance, United India Insurance, Manipal Cigna, and other leading insurers and TPAs including MD India, Medi Assist, and Health India — see the full list above.