Board prohibits unnecessary patient referrals
Summary
The Health Insurance Board mandates affiliated hospitals to stop unnecessary patient referrals and adhere to proper referral procedures to ensure treatment within available local facilities.
Key Points
- The Health Insurance Board has instructed all affiliated hospitals to cease unnecessary patient referrals.
- Hospitals must provide treatments available in their own facilities rather than referring patients without justification.
- If a facility cannot offer a service, it must issue a formal referral to the nearest guaranteed provider.
- Non-compliance may lead to refusal of insurance claims reimbursement and potential suspension or cancellation of hospital agreements.
