Get Iffco Tokio Pre Auth Form

Filling out the Iffco Tokio Pre Auth Form online is an essential step to request cashless hospitalization under your medical insurance policy. This guide provides clear instructions on how to complete each section effectively.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to acquire the Iffco Tokio Pre Auth Form and open it in your preferred form editor.
2. Begin with the section labeled 'Details of the third party administrator'. Fill in the name of the insurance company, the toll-free phone number, and toll-free fax number using block letters.
3. Proceed to the section 'To be filled by insured/patient'. Here, you'll fill in the patient's name, gender, age, contact number, and date of birth. Ensure all information is accurate and follows the required formats.
4. Continue with the insured member ID card number, policy number, corporate name, and employee ID if applicable. Also, indicate whether you have any existing health insurance and provide the company name if yes.
5. For the treating doctor/hospital section, fill in the doctor's name, contact number, nature of illness with presenting complaints, and the duration of the present ailment.
6. Document the provisional diagnosis and ICD code, proposed line of treatment, including details on medical management, surgical management, or any other treatments. Provide information on the injury occurrence if applicable.
7. In the 'Mandatory: Details of patient admitted' section, fill in the date and time of admission, whether the event is an emergency or planned, and expected duration of stay along with relevant costs.
8. Fill out the declaration section, where the treating doctor must provide their name, qualification, registration number, and hospital seal. Ensure the patient or insured individual's name and signature is added.
9. Finally, review all sections for completeness and accuracy before saving your changes. You can choose to download, print, or share the completed form as needed.

Complete the Iffco Tokio Pre Auth Form online today to ensure a smooth process for your cashless hospitalization!