Irda — A scan Reports from Eye Hospital

This is not much of a complaint but more of a suggestion.

I am a health care provider for ophthalmic services. When we are sending the preauth. documents to the TPA, they are invariably asking for a A scan report.

A scan report is mainly a document that surgeon needs to decide the power of the IOL tot be implanted, which he is entitled to change even at the time of surgery. It has no relevance for insurance companies or the TPA's.

I suggest IRDA, insurance companies and TPA's understand this and not ask for the A scan report for approval purpose. Asking for the IOL sticker on the discharge summary or even the invoice is understandable to avoid false claims but a document which only tells the surgeon the power of IOL is a medical decision and has no significance in settlement of claim.

Please mail me on [protected]@gmail.com