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View Full Version : Reimbursement of Medical Bills in CGHS Referred cases



madhusudhana
13-03-2012, 09:01 PM
I am serving Employee .My daughter Had a fall and fractured her left hand . She got operated in a CGHS referral hospital. She got admitted on saturday evening. I have informed CGHS wellness center and got the emergency memo signed by CGHS Doctor.
for first two days they gave treatment for her bronchitis as she was not fit for surgery due to that and after that She underwent surgery on monday. the hospital gave bill like this
for first two days they showed separate charges for accommodation, treatment, Diagnosis tests, etc. from the day of surgery to the discharge they have given package rate. Now our office says that only package part is reimbursable and not the two days treatment charges before surgery.

Please give any information about this as i am loosing a big amount on this.

madhusudhana

Ramnath
16-03-2012, 12:03 AM
If the name of the treatment is covered under any procedure (for which package rate is mentioned), then it will be reimbursed at package rate only. But, we stand to lose because of that.
Ramnath