Tender Notice Dt - Department of Health , J&K
Tender Notice Dt - Department of Health , J&K
Tender Notice Dt - Department of Health , J&K
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6. Eligible <strong>Health</strong> Services Providers:Both public (including ESI) and private health providers which providehospitalization and/or daycare services would be eligible for inclusion underthe insurance scheme, subject to such requirements for empanelment asmay be agreed between the State Government/Nodal Agency and Insurers.7. Empanelment <strong>of</strong> Hospitals:The Insurer shall ensure that the BPL and other non-BPL beneficiaries(wherever applicable) under the scheme are provided with the option <strong>of</strong>choosing from a list <strong>of</strong> empanelled Providers for the purposes <strong>of</strong> seekingtreatment.However those hospitals having adequate facilities and <strong>of</strong>fering the servicesas stipulated in the guidelines will be empanelled after being inspected byqualified technical team <strong>of</strong> the Insurance Company or their representativesand approved by the State Government/ nodal Agency The criteria forempanelment <strong>of</strong> hospital are provided as follows:a. Criteria for Empanelment <strong>of</strong> Public Providersi) All Government hospitals (including Community <strong>Health</strong> Centers) andESI hospitals can be empanelled provided they possess the followingminimum facilitiesa. Telephone/Fax,b. Internet/ Any other connectivity to the Insurance Company Serverc. A Personal Computer, 2 smart card readers and a fingerprintverification machine or a standalone machine with minimumconfiguration specified as per Annexure 16d. ande. The facility should have an operational pharmacy and diagnostic testservices, or should be able to link with the same in close vicinity soas to provide ‘cash less’ service to the patient.b. Criteria for Empanelment <strong>of</strong> Private ProvidersThe criteria for empanelling private hospitals and health facilities would beas follows:i) At least 10 inpatient beds. The requirement <strong>of</strong> minimum number <strong>of</strong>beds can be reduced by the State Government/ Nodal Agency based onavailable infrastructure in rural areas.ii)Fully equipped and engaged in providing Medical and/ or Surgicalfacilities. The facility should have an operational pharmacy anddiagnostic test services, or should be able to link with the same in closevicinity so as to provide ‘cash less’ service to the patient.9
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