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TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 1
INDEX
1. ABOUT TNNHIS WEB MODULE 02
2. ENTRY LEVEL PROCESS FOR PROVIDERS UNDER TNNHIS 03
3. STEPS TO LOGIN INTO TNNHIS WEB MODULE 05
4. STEPS TO USE PROVIDER LOGIN 07
5. STEPS TO PROCESS FRESH INWARD 09
6. STEP TO PROCESS QUERY REPLY 13
7. STEPS TO APPLY FOR RECONSIDERATION OFDENIAL 17
8. STEPS TO APPLY FOR ENHANCEMENT IN AL 18
9. STEPS TO UPDATE HOSPITAL DETAILS 20
10. STEPS TO CHANGE PASSWORD 22
11. PROCEDURE TO CHECK AUTHORISATION DOCUMENT SUMMARY 23
12. PROCEDURE TO CHECK REQUEST FOR AUTHORISATION LETTER 24
13. PROCEDURE TO CHECK ADDITIONAL DOCUMENT REQUESTED IN AUTHORISATION 25
14. PROCEDURE TO CHECK AUTHORISATION LETTERS DENIED DETAILS 26
15. PROCEDURE TO CHECK AUTHORISATION LETTERS ISSUED 27
16. PROCEDURE TO CHECK TOTAL INWARD DONE 28
17. PROCEDURE TO CHECK ADDITIONAL DOCUMENT REQUESTED 32
18. PROCEDURE TO CHECK PROCESS CLAIM DETAILS 33
19. PROCEDURE TO CHECK PAID CLAIM DETAILS 36
20. PROCEDURE TO CHECK PACKAGE RATE LIST 37
TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 2
ABOUT TNNHIS WEB MODULE:
TNNHIS web module is for managing the data online. Here we have provided the following list of Logins
to the end users:
1. PROVIDER LOGIN
2. MDININDIA LOGIN
The web module is for representing all the information of Inward / Claims and Authorization handled by
Provider.
Hospital Transactions include:
• Fresh Inward
• Query Reply
• Reconsideration of Denial
• Enhancement in AL
• Update Hospital Details
• Change Password
Claims Status Includes:
• Under Process Claims Detail
• Additional Document Requested
• Processed Claims Details
• Paid Claims Details
• Repudiated Claims Details
Authorisation Status Includes:
• Authorisation Document Summary
• Requests for Authorisation Letter
• Additional Documents Requested in Authorisation
• Requests for Authorisation Letter Denied
• Authorisation Letter issued
• Total Inward Done
Package Rate List includes:
• Package Rate List details
TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 3
ENTRY LEVEL PROCESS FOR PROVIDERS UNDER TNNHIS:
1. When a patient approaches a TNNHIS empanelled Hospital for treatment, the provider needs to
ensure the following:
• The patient is a valid beneficiary of the scheme and fulfills the definition of “employee”
or “family” of the scheme.
(a) “Employee” means an Employee of the Government of Tamil Nadu, State Public
Sector Undertakings, and Local Bodies in Tamil Nadu, State Government Universities
and Statutory Boards under the control of the Government of Tamil Nadu.
(b)"Family” includes the Employee, and the members of his or her family who are
eligible for assistance under the Scheme as detailed below:
(i) Legal spouse of the Employee.
(ii)Children of the Employee - till they get employed or married or attain the age
of 25 years whichever is earlier and dependent on the Employee;
(iii) The parents of the Employee, in the case of unmarried employee until the
Employee gets married
• Documents that confirm eligibility should be verified:
i. A photo I-Card issued by the State Authorities and
ii. The health card issued by insurance company (United India Insurance Company)
with a family photograph of the beneficiaries.
2. When the beneficiary is enrolled in the Third Party Administrator Database, on entering the Card
No issued by the Insurance Company, the details of the beneficiary would get populated in the
login screen as shown below
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
3. In case the beneficiary is valid but not enrolled in TPA database, the provider can proceed with
Authorization request for treatment, but the documents that would be sent for Authorization,
should also include a signed copy of Annexu
Authorization Letter is issued.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Login Screen
In case the beneficiary is valid but not enrolled in TPA database, the provider can proceed with
Authorization request for treatment, but the documents that would be sent for Authorization,
should also include a signed copy of Annexure E (Form 20) for enrollment by the TPA before the
Authorization Letter is issued.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 4
In case the beneficiary is valid but not enrolled in TPA database, the provider can proceed with
Authorization request for treatment, but the documents that would be sent for Authorization,
re E (Form 20) for enrollment by the TPA before the
TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 5
STEPS TO LOGIN USING TNNHIS WEB MODULE
STEP- 01
Login to http://www.mdindiaonlilne.com
Refer Screenshot – [01]
Screenshot – [01]
The above screenshot – [01] contains the “TN Employee Scheme Tab”, click on this Tab to proceed.
Click on My Account Tab
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
STEP- 02
After clicking the above My Account
1. OBJECTIVE
2. ONLINE STATUS
a. PROVIDER LOGIN
b. MDINDIA LOGIN
3. POLICY INFORMATION
4. PREMIUM INFORMATION
5. CONTACT US
6. PROVIDER MANAGEMENT
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
My Account Tab the below mentioned ‘options’ will appear
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 6
Screenshot – [02]
will appear
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
STEPS TO USE PROVIDER LOGIN
STEP- 03
To begin the process of Inward –
STEP- 04
a. Select the Hospital Name
b. Click Login tab
Refer Screenshot – [04]
Note: If the login details are correct it will redirect you to Pr
Details .
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
OGIN
– Click on My Account �Provider Login
Hospital Name from the dropdown list and enter the password
: If the login details are correct it will redirect you to Provider’s Homepage with Hospital
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 7
Screenshot – [03]
and enter the password
ovider’s Homepage with Hospital
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 8
Screenshot – [04]
Screenshot – [05]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
STEPS TO PROCESS FRESH INWARD
When the beneficiary visits the provider for availing treatment the following steps to be followed:
a. Click on � Hospital Transaction
b. The request for Pre-Authorization would appear. In case of fresh Inward the Provider will have
to complete the information in the below mentioned Tab:
i. Patient Information
ii. Complaint Details
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
NWARD
When the beneficiary visits the provider for availing treatment the following steps to be followed:
Hospital Transaction�Fresh Inward – Refer Screenshot [06]
Authorization would appear. In case of fresh Inward the Provider will have
to complete the information in the below mentioned Tab:
Patient Information
Complaint Details
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 9
When the beneficiary visits the provider for availing treatment the following steps to be followed:
Screenshot – [06]
Authorization would appear. In case of fresh Inward the Provider will have
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
iii. Treatment Details
iv. Hospital Information (Auto Populated)
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Treatment Details
Hospital Information (Auto Populated)
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 10
Screenshot – [7]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Note: Where procedure/package is not mentioned
the value of the treatment in the
v. Past History/Bill Particulars
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Where procedure/package is not mentioned, select Package Type as Non-
value of the treatment in the Total Amount Tab.
Past History/Bill Particulars
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 11
Screenshot – [8]
Screenshot – [9]
-Package and mention
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
vi. Previous Policy Information
vii. Upload Scanned Document
Note: 1. Browse and Upload the documents to proceed further to the terms and
2. For not enrolled cases only .tiff
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Previous Policy Information
Upload Scanned Document and Terms & Conditions
Browse and Upload the documents to proceed further to the terms and
tiff images would be acceptable.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 12
Screenshot – [10]
Browse and Upload the documents to proceed further to the terms and conditions.
Screenshot – [11]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
c. Tick on “I accept the terms and conditions”
d. Click on Save
Note: Incase any information is missed a Dialog box with the error would
e. Save action would generate the ‘
STEPS TO PROCESS QUERY REPLY
a. Go to �Hospital Transactions
b. Enter either of the following information to retrieve
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Tick on “I accept the terms and conditions” [Refer Screenshot 11]
: Incase any information is missed a Dialog box with the error would pop up.
Save action would generate the ‘Inward No’
EPLY
Hospital Transactions � Query Reply
Enter either of the following information to retrieve patient query details
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 13
pop up.
Screenshot – [12]
Screenshot – [13]
patient query details
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
i. CCN Number
ii. MDID Number
iii. Patient Name
Note: The Patient Query details
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
he Patient Query details are can be viewed on the dashboard
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 14
Screenshot – [14]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
c. Click on View to see the Additional Document Request form received from TPA.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
to see the Additional Document Request form received from TPA.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 15
to see the Additional Document Request form received from TPA.
Screenshot – [15]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
d. To reply to the ADR click on
e. Browse and Upload the required documents
The documents uploaded will be
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
To reply to the ADR click on Details.
Browse and Upload the required documents
The documents uploaded will be forwarded to the Authorization department for further processing.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 16
Screenshot – [16]
Screenshot – [17]
forwarded to the Authorization department for further processing.
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
STEPS TO APPLY FOR RECONSIDERATION
a. Go to �Hospital Transactions
b. Enter either of the following information to retrieve
iv. CCN Number
v. MDID Number
vi. Patient Name
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
ECONSIDERATION OF DENIAL
Hospital Transactions � Reconsideration of Denial
Enter either of the following information to retrieve denial case
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 17
Screenshot – [18]
Screenshot – [19]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Click on the Detail to upload the necessary documents required during reconsideration of AL.
On uploading the document an Inward number which is alpha
STEPS TO APPLY FOR IN AL
c. Go to �Hospital Transactions
d. Enter either of the following information to
vii. CCN Number
viii. MDID Number
ix. Patient Name
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
to upload the necessary documents required during reconsideration of AL.
On uploading the document an Inward number which is alpha-numeric is generated
Hospital Transactions � Enhancement in AL
Enter either of the following information to request for Enhancement of AL
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 18
Screenshot – [20]
to upload the necessary documents required during reconsideration of AL.
numeric is generated.
Screenshot – [21]
request for Enhancement of AL
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
e. Click on View to see the AL’s received
f. Click on Details for requesting enhancement in AL amount.
g. Browse and Upload the required documents (only .
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
to see the AL’s received
for requesting enhancement in AL amount.
and Upload the required documents (only .tiff images would be acceptable)
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 19
Screenshot – [22]
Screenshot – [23]
images would be acceptable)
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
On uploading the document an Inward number which is alpha
STEPS TO UPDATE HOSPITAL
a. Go to �Hospital Transactions
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
On uploading the document an Inward number which is alpha-numeric is generated
OSPITAL DETAILS
Hospital Transactions � Update Hospital Details
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 20
Screenshot – [24]
Screenshot – [25]
numeric is generated.
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Provider can make the following changes;
i. Contact Person
ii. Landline No.
iii. Mobile No.
iv. Email Id
v. Fax No.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Provider can make the following changes;
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 21
Screenshot – [26]
Screenshot – [27]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
STEPS TO CHANGE PASSWORD
a. Go to �Hospital Transactions
b. Provider can change the password.
END OF ACTIVITY – HOSPITAL
The Inward Number generated would be
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
ASSWORD
Hospital Transactions � Change Password
Provider can change the password.
OSPITAL TRANSACTIONS
Inward Number generated would be alpha-numeric; this number would be used for further process.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 22
Screenshot – [28]
Screenshot – [29]
this number would be used for further process.
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
DETAILS TO CHECK AUTHORISATION
The below mentioned steps will provide the different status in the Authorisation Process
i. Authorisation Document Summary
ii. Request for Authorisation Letter
iii. Additional Document Requested in Authorisation
iv. Request for Authorisation Letters
v. Authorisation Letter Issued
vi. Total Inward Done
PROCEDURE TO CHECK AUTHORISATION
a. Go to �Authorisation Status �
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
UTHORISATION STATUS
The below mentioned steps will provide the different status in the Authorisation Process
Authorisation Document Summary
Request for Authorisation Letter
Additional Document Requested in Authorisation
Request for Authorisation Letters Denied
Authorisation Letter Issued
UTHORISATION DOCUMENT SUMMARY
�Authorisation Document Summary
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 23
The below mentioned steps will provide the different status in the Authorisation Process:
Screenshot – [30]
Screenshot – [31]
TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 24
b. Enter Credentials �Click Search
Screenshot – [32]
c. This would give the summary in a tabular format [Refer Screenshot 31]
PROCEDURE TO CHECK REQUEST FOR AUTHORISATION LETTER(RAL)
a. Go to �Authorisation Status �Request for Authorisation Letter
Screenshot – [33]
b. Enter the CCN number/MDID number�Click Search
TNNHIS Web-Module Documentation
PROVIDER LOGIN Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd. Page 25
Screenshot – [34]
c. This would give the summary in the tabular format [Refer Screenshot 33]
PROCEDURE TO CHECK ADDITIONAL DOCUMENT REQUESTED IN AUTHORISATION
a. Go to� Authorisation Status � Additional Document Requested in Authorisation
Screenshot – [34]
b. Enter Credentials –CCN Number, MDID Number or Patient Name to Check query for a particular patient
Screenshot – [36]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
c. The Additional Documents Requested details can also be viewed on
consolidated details of total ADR raised
d. Click on View to see the ADR raised by TPA(Refer Provider Login process
Reply �Point ‘C’)
PROCEDURE TO CHECK AUTHORISATION
a. Go to �Authorisation�
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Documents Requested details can also be viewed on the dashboard which gives the
consolidated details of total ADR raised
to see the ADR raised by TPA(Refer Provider Login process�Steps to Process Query
UTHORISATION LETTERS DENIED DETAILS
�Request for Authorisation Letter Denied
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 26
the dashboard which gives the
Screenshot – [37]
Steps to Process Query
Screenshot – [38]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Enter Credentials –CCN Number, MDID Number or Patient Name to Check Details. Click Search
c. The details will appear in a tabulated format
PROCEDURE TO CHECK AUTHORISATION
a. Go To �Authorisation Status
b. Enter Credentials–CCN Number, MDID Number or Patient Name to Check Details of AL I
c. The details of Authorisation Letter Issued can also be checked on the dashboard.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
CCN Number, MDID Number or Patient Name to Check Details. Click Search
The details will appear in a tabulated format
UTHORISATION LETTERS ISSUED
Authorisation Status�Authorisation Letter Issued
CCN Number, MDID Number or Patient Name to Check Details of AL I
The details of Authorisation Letter Issued can also be checked on the dashboard.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 27
CCN Number, MDID Number or Patient Name to Check Details. Click Search
Screenshot – [39]
Screenshot – [40]
CCN Number, MDID Number or Patient Name to Check Details of AL Issued
Screenshot – [41]
The details of Authorisation Letter Issued can also be checked on the dashboard.
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
d. Choose a case –Click View to see the AL raised by the TPA for the concerned patient
Refer Hopital doc preared.
e. Click on Details to see the details of Authorisation Details.
Note:Basis Authorisation Status the Provider will act accordingly
PROCEDURE TO CHECK TOTAL INWARD
a. Go to� Authorisation Status
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Click View to see the AL raised by the TPA for the concerned patient
Refer Hopital doc preared.
Details to see the details of Authorisation Details.
Basis Authorisation Status the Provider will act accordingly
NWARD DONE
Authorisation Status�Total Inward Done
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 28
Screenshot – [42]
Click View to see the AL raised by the TPA for the concerned patient
Screenshot – [43]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Enter Credentials–CCN Number, MDID Number or Patient Name to Check Details of Inward
Done
c. The details of Total Inward Done will appear on a Dashboard.This Screen will give the details in a
consolidated format
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Number, MDID Number or Patient Name to Check Details of Inward
The details of Total Inward Done will appear on a Dashboard.This Screen will give the details in a
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 29
Number, MDID Number or Patient Name to Check Details of Inward
Screenshot – [44]
The details of Total Inward Done will appear on a Dashboard.This Screen will give the details in a
Screenshot – [45]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
d. Click on View to see the request for Pre Authorisation raised by the Provider
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
see the request for Pre Authorisation raised by the Provider
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 30
see the request for Pre Authorisation raised by the Provider
Screenshot – [46]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
e. Click on Details to check the Inward Details
END OF ACTIVITY – AUTHORISATION
DETAILS TO CHECK CLAIMS STATUS
The below mentioned steps will provide the different status in the
i. Under Process Claims Details
ii. Additional Documents Requested
iii. Processed Claims Details
iv. Paid Claims Details
v. Repudiated Claims Details
a. Go to �Claim Status �Under Process Claim Details
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
to check the Inward Details
UTHORISATION STATUS
TATUS
The below mentioned steps will provide the different status in the Claims Process:
Under Process Claims Details
Additional Documents Requested
Processed Claims Details
Repudiated Claims Details
Under Process Claim Details
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 31
Screenshot – [47]
Claims Process:
Screenshot – [48]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Enter the Credentials-CCN Number or Patient Number and Search
c. The Under Process Details for the specific patient will appear with status of the Claim
PROCEDURE TO CHECK ADDITIONAL
a. Go to �Claim Status �Additional Document Requested
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
CCN Number or Patient Number and Search
The Under Process Details for the specific patient will appear with status of the Claim
DDITIONAL DOCUMENT REQUESTED
Additional Document Requested
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 32
Screenshot – [49]
Screenshot – [50]
The Under Process Details for the specific patient will appear with status of the Claim
Screenshot – [51]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Enter the Credentials-CCN Number or Patient Number and Search
c. The Additional Document Request Details for the specific patient will appear
other details that resulted in ADR being raised.
PROCEDURE TO CHECK PROCESS
a. Go to Claim Status�Processed Claim Details
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
CCN Number or Patient Number and Search
The Additional Document Request Details for the specific patient will appear
other details that resulted in ADR being raised.
ROCESS CLAIM DETAILS
Processed Claim Details
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 33
Screenshot – [52]
The Additional Document Request Details for the specific patient will appear with reason and
Screenshot – [53]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
b. Enter the Credentials –CCN Number or Patient Details and Search
c. The Settled Claim Details can also be viewed on the Dashboard.
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
CCN Number or Patient Details and Search
The Settled Claim Details can also be viewed on the Dashboard.
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 34
Screenshot – [54]
Screenshot – [55]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
d. Click on Details. This will open the Screen giving
Sheet, Payment Details
e. Click on View Claim Payment Sheet to see the details of payments
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
Click on Details. This will open the Screen giving Patient Details, AL Details
Click on View Claim Payment Sheet to see the details of payments
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 35
AL Details, Claim Payment
Screenshot – [56]
Screenshot – [57]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
PROCEDURE TO CHECK PAID C
a. Go to �Claim Status�Paid Claim Details
b. Enter Credentials-CCN Number or Patient Details
c. The details of the Claim Paid will appear for the specific patient
END OF ACTIVITY – CLAIMS S
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
CLAIM DETAILS
Paid Claim Details
CCN Number or Patient Details�Click Search
details of the Claim Paid will appear for the specific patient
STATUS
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 36
Screenshot – [58]
Screenshot – [59]
TNNHIS
PROVIDER LOGIN
MDIndia Healthcare Services [TPA] Pvt. Ltd.
PROCEDURE TO CHECK PACKAGE
a. Provider can click on the Package Rate list to see the details of the agreed rate lis
One can search the details by the
� Package Code
� Package Name
END OF THE PROVIDER LOGIN
HIS Web-Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
MDIndia Healthcare Services [TPA] Pvt. Ltd.
ACKAGE RATE LIST
Provider can click on the Package Rate list to see the details of the agreed rate lis
h the details by the
OGIN PROCESS
Module Documentation
Tamil Nadu Employees Health Insurance Scheme 2012
Page 37
Provider can click on the Package Rate list to see the details of the agreed rate list.
Screenshot – [60]