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The General Insurance Council, which represents non-life insurers, has decided to take on the hospitals that overcharge health insurance policyholders or engage in insurance fraud.
Mr S Prakash, managing director of Star Health and Allied Insurance and an executive committee member of the Council, told the media that the trade association would take a unified approach against fraud, reported CanIndia News.
He said, “We want to send a strong signal to the hospitals. The action against the hospitals could be the issuance of a warning letter, suspension of the cashless facility and even exclusion (blacklisting) of the hospital as a service provider except in the case of an emergency.”
The Council will also establish an appellate mechanism where the affected hospital can make an appeal relating to findings or actions against it.
The Council also plans to have a common information technology platform to empanel hospitals, Mr Prakash said.
