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ECHS – Revised Procedure for Procession of Waiver and Sanctions: Online Claims

ECHS – Revised Procedure for Procession of Waiver and Sanctions: Online Claims
Central Organisation ECHS
Adjutant General Branch
Integrated HQ of MoD (Army)
Maude Line
Delhi Cantt-110010

BI49778/AG/ECHS/Claim/Policy

30 Aug 17

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(All Regional Centres ECHS)

REVISED PROCEDURE FOR PROCESSING OF WAIVER AND SANCTIONS : ONLlNE CLAIMS

1. Refs:-
(a) Our letter No Bl49779/OutsourcingIAG/ECHS dt 11 Jun 14.
(b) Our letter No BI49770/AGIECHS dt 09 Jun 15.
(c) Our letter No B/49779-Outsourcing/AG/ECHS dt 24 Jul 17.
(d) Our letter No B/49779-Outsourcing/AG/ECHS dt 22 Aug 17.

2. The ‘Online Bill Processing’ was initiated pan India was 01 Apr 15, for
efficient and timely settlement of claims while maintaining transparency between
the ECHS beneficiaries, empanelled hospitals, EPA and Central Org ECHS.

3. The existing timeline for processing of online claims is as under:-

Ser No
Details
Timeline
Empanelled Hospital Claims
(a) Admission Intimation Within 24 Hrs-from time ADMISSION
(b) Online Submission of Claim Within 04 Days from Date of Discharge
(c) Submission of Hard Copies of Claim Within 30 Days from Date of Discharge
(d) Query & Need more Info Reply  Within 30 Days of Query/NMI Date
Individual Reimbursement Claims
(e) Admission Intimation (EIR) Within 48 hrs from time of admission
Submission of Hard Copy Within 30 Days from Date of Discharge

4. However of late, it has been observed that empanelled hospitals/ECHS
beneficiaries are not adhering to the stipulated timelines and also not
responding to the NMI queries raised by BPA within stipulated time frame,
thereby, delaying the final settlement of online claims.
5. Based on numerous requests from the environment and to streamline online
bill processing, the revised procedure for processing of waivers and
sanctions of online   claims has been formulated and attached along as per Appx
attached to this letter.
The time limits for various activities have been
revised as per requests from AFVs /Empanelled Hospitals / Regional Centres and
are exclusive of date of discharge in respective claims. However, it is
pertinent to mention that all the stakeholders to strive for speedy processing
of claims and early settlement by avoiding delays, besides ensuring integrity of
financial claims.
6. Following amdts are incorporated in Para 6 of this HO letter mentioned at
Para 1(d), regarding one time waiver for all NMI:-
(a)  For.   One time delay condonation for late submission of
physical bills and associated documents is also given whenever online bills have
been uploaded.             
 (b) Read. One time waiver is hereby accorded for all NMI cases i.e, delay in
intimation  of  admission,  delay  in  online  claim (IP&OP)  submission, 
delay  in submission of hard copy & delay in reply of NMI.
7. You are requested to disseminate the revised procedure for waivers and
sanctions along with timelines to the environment for strict compliance.   The
above policy will be implemented with effect from 01 Oct 17,
8, This has the approval of the MD ECHS.

Sd/-
(Niranjan Kumar)
Brig Dy MD
For MD ECHS

APPX
(Refer to Central Org ECHS letter No
B/49778/AG/ECHS/Claim/Policy dt 30 Aug 17)

REVISED PROCEDURE FOR PROCESSING OF WAIVERS AND SANCTION
: ONLINE CLAIMS

Ser No Type of Activity Procedure in Vogue (Timeline) Revised Procedure wef 01 Oct 17 Remarks (Including Disposal of old cases)
EMPANELLED HOSPITAL CLAIMS
1 intimation of Admission to  BPA Within 24 Hrs-from time of admission Within 48 Hrs from time of admission (Revised Timeline) One time waiver is accorded for all old
cases till 30 Sep 17
Upto 30 days – Waiver by Dir RC on justification
Beyond 30 days – No (NO) waiver will be accorded
2 Emergency Referral (ER) in Emergency Cases Within 24 Hrs from time of admission Within 48 Hrs from time of admission (Revised Timeline) One time waiver is accorded for all old
cases till 30 Sep 17
Waiver by OIC Polyclinic upto 07 days from the date of
hospitalization I date of discharge whichever earlier (valid
justification needed)
Upto 30 days – Waiver by Dir RC on justification
Beyond 30 days – No (NO) waiver will be accorded
3 Online Claim (IPIOP) Submission in BPA
portal
Within 04 working days from date of
discharge
Within 07 working days from date of discharge (Revised
Timeline)
One time waiver is
Upto 60 days – Waiver by Dir RC on justification accorded for all old
Beyond 60 days – No (NO) waiver will be accorded cases till 30 Sep 17
4 Submission of Hard Copy of Claim (IP/OP) to
Regional Centre
Within 30 days from    date of discharge Within 60 days from date of discharge (Revised
Timeline)
One time waiver is accorded for all old
cases till 30 Sep 17
Wef 61- 90 days – Waiver by Dir RC on justification
Beyond 90 days  No NO waiver will be accorded
5 Need More Information (NW) Within 30 days from date of NMI The prevailing procedure of granting waiver at various
intervals shall be discontinued wef 01 Oct 17 vide letter No
B/49779-Outsourcing/AG/ECHS dt 24 Jul 17 as amended vide our letter No
B/49779-Outsourcing/AG/ECHS dt 22 Aug 17 and also a comprehensive
guidelines for disposal of NMI cases within stipulated time frame has
been issued
After 180 days, claim to be settled based on available
documents with deductions (if needed) or rejected depending upon the
status of the claim
INDIVIDUAL REIMBURSEMENT CLAIMS (NON
EMPANELLED HOSPITALS)
6 Intimation of Admission/ Emergency
Information Report (EIR) to Polyclinic by ECHS beneficiary/ NOK in case
of Emergency admission in Non Empanelled Hospitals
Within 48 Hrs from time of admission Within 48 Hrs from time of admission OIC Polyclinic and Dir RC to ensure that no
reimbursement claim remains pending in the system for NMI disposal
beyond 180 days
Waiver by Dir RC, if intimation recd within
hospitalization  period
If delayed beyond hospitalization period upto 90 days
from date of discharge, application to be processed by Dir RC with
justification to Central Org ECHS, as per format fwd vide our letter No
13/49770/AG/ECHS dt 21 Nov 16
7 Submission of Hard Copy of claim to
Polyclinic
Within 30 days from date of discharge Within 90 days from date of discharge (Revised
Timeline)
Wef 91-180 days from date of discharge, waiver to be
given by Dir RC
Beyond 180 days from date of discharge, waiver to be
given by Central Org ECHS
8 Need More information (NMI) Within 30 days from date of NMI There is no stage wise time restriction imposed on the
individual reimbursement claims and a comprehensive guidelines for
processing of Individual Reimbursement Claims has been issued vide
letter No B/49779-Outsourcing/AG/ECHS dt 24 Jul 17 GOVT HOSPITALS
9 Treatment in Govt Hospitals ECHS beneficiary may avail treatment
without obtaining referral from polyclinics. However, referral will only
be required for the specified treatment such as Organ Treatment Surgery,
Knee and Hip Joint Replacement, Cancer Treatment, Neurosurgery and
Cardiac Surgery vide Gel, MoD letter No 22D(09)/2013/US(WE)/ D(Res) dt
26 Jul 16
Intimation of Admission within 48 Hrs by ECHS
beneficiary / NOK to parent / nearest Polyclinic
Within 90 days from date of discharge – Hard copy of
claim by ECHS beneficiary / dependent should be submitted at Polyclinic
Upto 180 days – Waiver by Dir RC on justification for
delay in admission intimation and referral both
Beyond 180 days from date of discharge, waiver to be
given by Central Org ECHS for delay in admission intimation and referral
both
MISC CONCURRENCE CASES
10 Misc concurrence required by BPA to process the claims,
as follows (a) Discrepancy in overlapping of admission and discharge
dates (b) Repeated admission for same ailment within short duration (c)
On table procedure/additional procedure done
No policy exists Waiver to be given  by Central Org  ECHS. Cases to be
examined in detail by RC and fwd with due justification and
recommendation of Dir RC as per format fwd v de our letter No
13/497713/AG/ECHS/ Claim/Policy dt 03 Nov 16
SANCTIONS
11 Approval on Appx ‘A’ of Cardiologist of Comd 1 Zonal
Hospital for:- (a) Unlisted procedures. (b) Cardiac implants (listed 1
unlisted). (c) More than 02 DES and 01 Base Metal Stent (PTCA)
Approval given by Cardiologist after physical checking
of all relevant Documents
Status  quo  to  be  maintained.  However, PC/RC
may consider feasibility to obtain online approval to save time and
subsequently hard copy to be sent by post
In case of emergency, no approval need to be taken
12 Organ Transplant (Liver & Lungs) Approval given by MD ECHS Status quo to be maintained
13 Approval on Appx ‘A’ for Unlisted
Procedure/Test/Implants at ECHS Empanelled Hospital
Approval given by SEMO on revised Appx ‘A’ as per our
letter No B1497781 AG/ECHS/PA/Ruling dt 03 Feb 17
Status quo to be maintained
14 Extended Hospital Admission on Appx ‘A’ 13-30 days by OIC Polyclinic Status quo to be maintained
15 Extended Hospital Admission on Appx ‘B’ 31-60 days by Dir RC Status quo to be maintained
16 Extended Hospital Admission on Appx ‘C’ 61-120 days by MD ECHS Status quo to be maintained

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