insurance regulator IRDAI on Wednesday allowed general insurers to choose out-of-network providers or hospitals that meet their standards, thus easing norms for expanding cashless facilities in the country. Insurance Regulatory and Development Authority India (IRDAI) has revised the ‘Guidelines on Standardization in Health Insurance’ to give effect to the new norms.

“… In order to widen the scope of offering cashless facility across the country, insurance companies are now empowered to list those network providers who meet the standards and benchmark criteria specified by their respective boards,” it said. In a circular to insurance companies and third party administrators (TPAs).

Earlier, only those network providers who were registered with Hospital Registry Rohini were maintained insurance information bureau ,IIB) can be listed by the insurers.

Hospitals offering cashless services also had to meet the pre-accreditation entry level standards set by National Accreditation Board for Hospitals (NABH).

Co-founder Kapil Mehta said, “The regulator is continuously improving the ease of doing business. This circular allows insurers to take an independent decision about which hospital to empaneled and then be transparent about the same.” secure now,

IRDAI further said that the boards of insurance companies should consider minimum manpower and healthcare infrastructure before empanelment of a hospital.

The circular said that the criteria for the panel approved by the Board should also be published on the website of the insurance companies from time to time.

On the decision of IRDAI, Sharad Mathur, MD & CEO, Universal Sompo General Insurance Said that the regulatory initiative will widen the scope of cashless services of insurers which will play a vital role in reducing the financial burden on the policyholders.

“It will also provide a strong network of health care and insurance services across the country,” he said.

The regulator has asked insurers to focus on delivery of quality health services while taking on board hospitals for cashless facilities.

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