Tender Notice Dt - Department of Health , J&K
Tender Notice Dt - Department of Health , J&K Tender Notice Dt - Department of Health , J&K
NOW IT IS HEREBY AGREED AS FOLLOWS:Article 1:TermThis Agreement shall be for a period of ____ years. However, it is understood and agreed betweenthe Parties that the term of this agreement may be renewed yearly upon mutual consent of theParties in writing, either by execution of a Supplementary Agreement or by exchange of letters.Article 2:Scope of services1. The hospital undertakes to provide the service in a precise, reliable and professional manner to thesatisfaction of Insurer and in accordance with additional instructions issued by Insurer in writingfrom time to time.2. The hospital shall treat the beneficiaries of RSBY according to good business practice.3. The hospital will extend priority admission facilities to the beneficiaries of the client, wheneverpossible.4. The hospital shall provide packages for specified interventions/treatment to the beneficiaries as perthe rates mentioned in Annexure III. It is agreed between the parties that the package will include:(a)(b)(c)Bed charges (General Ward), Nursing and boarding charges, Surgeons, Anaesthetists,Medical Practitioneer, Consultants fees, anaesthesia, blood, oxygen, OT charges, costof surgical appliances, medicines & drugs, cost of prosthetic devices, implants,X-ray& diagnostic tests, food for patient etc.Expenses incurred for diagnostic test and medicines upto 1 day before the admissionof the patient and upto 5 days of discharge from the hospitalization of the sameailment/ surgery.Transportation expenses of Rs. 100/- from the place of residence of the patient to thehospital. These would be reimbursed in cash by the hospital to the patient at the timeof discharge.67
5. The Hospital shall ensure that medical treatment/facility under this agreement should be providedwith all due care and accepted standards is extended to the beneficiary.6. The Hospital shall allow Insurance Company official to visit the beneficiary. Insurer shall notinterfere with the medical team of the hospital, however Insurer reserves the right to discuss thetreatment plan with treating doctor. Further access to medical treatment records and bills preparedin the hospital will be allowed to Insurer on a case to case basis with prior appointment from thehospital.7. The Hospital shall also endeavor to comply with future requirements of Insurer to facilitate betterservices to beneficiaries e.g providing for standardized billing, ICD coding or etc and if mandatoryby statutory requirement both parties agree to review the same.8. The Hospital agrees to have bills audited on a case to case basis as and when necessary throughInsurer audited team. This will be done on a pre agreed date and time and on a regular basis.9. The hospital will convey to its medical consultants to keep the beneficiary only for the requirednumber of days of treatment and carry only the required investigation & treatment for the ailment,which he is admitted. Any other incidental investigation required by the patient on his requestneeds to be approved separately by Insurer and if it is not covered under Insurer policy will not bepaid by Insurer and the hospital needs to recover it from the patientArticle 3:Identification of Beneficiaries1. Smart Cards would be the proof of the eligibility of BPL households and other non-BPLbeneficiaries (if applicable) for the purpose of the scheme. The beneficiaries will be identified bythe hospital on the basis of smart card issued to them.. The smart card shall have the photographand finger print details of the beneficiaries. The smart card would be read by the smart card reader.The patients/ relative’s finger prints would also be captured by the bio metric scanner. The POSmachine will identify a person if the finger prints match with those stored on the card. In case the68
- Page 17 and 18: (d)(e)(f)pre-defined fee.An enrollm
- Page 19 and 20: ) Beneficiary has balance in his/ h
- Page 21 and 22: intermediary institutions for the p
- Page 23 and 24: to as the “Call Centre Service”
- Page 25 and 26: The parties shall refer such disput
- Page 27 and 28: for the insurer to download.ii. Dis
- Page 29 and 30: esponsibility of the Insurer to ens
- Page 31 and 32: 36. Notification of Award And Signi
- Page 33 and 34: details of the scheme as mentioned
- Page 35 and 36: SECTION B - FINANCIAL PROPOSAL(KIND
- Page 37 and 38: SECTION D -DECLARATION BY THE BIDDE
- Page 39 and 40: Annexure - 3UNDERTAKING BY THE BIDD
- Page 41 and 42: Annexure 5Format for Providing Addi
- Page 43 and 44: O.T. Charges, Medicines and Drugs,
- Page 45 and 46: 34 FP00300010 J32 Ethmoidectomy - E
- Page 47 and 48: 123 FP00500048 Q43 Duplication of I
- Page 49 and 50: 212 FP00500137 K51 Ileostomy 7 17,5
- Page 51 and 52: 301 FP00600020 D27 Ovarectomy/Oophr
- Page 53 and 54: 390 FP00900048 K25 Vagotomy with Py
- Page 55 and 56: 477 FP01100044Closed Reduction and
- Page 57 and 58: 12 PAEDIATRIC565 FP01200001 Q79 Abd
- Page 59 and 60: 653 FP01400045 N28 Repair of Ureter
- Page 61 and 62: 743 FP01800016 B53744 FP01800017 B5
- Page 63 and 64: War like operations (whether war be
- Page 65 and 66: Draft MoU Between Insurance Company
- Page 67: 4. Insurer has on the basis of desi
- Page 71 and 72: 2.5 Within a period of 12 hours fro
- Page 73 and 74: 2. The hospital undertakes to uphol
- Page 75 and 76: All official correspondence, report
- Page 77 and 78: 3. Notwithstanding anything to the
- Page 79 and 80: each of the terms of this Agreement
- Page 81 and 82: Annexure IHospital Services- Admiss
- Page 83 and 84: Case 3: In case of in-sufficient fu
- Page 85 and 86: Qualifying Criteria for Smart Card
- Page 87 and 88: Annexure 14List of Public Hospitals
- Page 89 and 90: 2. Smart card:2.1. OverviewA smart
- Page 91 and 92: esponsible for each of these to the
- Page 93 and 94: • Licensed system software• Cer
- Page 95 and 96: chip personalization. It is mandato
- Page 97 and 98: Annexure 17Guidelines for the RSBY
- Page 99 and 100: 1.3.1. Re-issuance of a card: This
- Page 101 and 102: 2. District Server1.3.4.4.1. The ca
5. The Hospital shall ensure that medical treatment/facility under this agreement should be providedwith all due care and accepted standards is extended to the beneficiary.6. The Hospital shall allow Insurance Company <strong>of</strong>ficial to visit the beneficiary. Insurer shall notinterfere with the medical team <strong>of</strong> the hospital, however Insurer reserves the right to discuss thetreatment plan with treating doctor. Further access to medical treatment records and bills preparedin the hospital will be allowed to Insurer on a case to case basis with prior appointment from thehospital.7. The Hospital shall also endeavor to comply with future requirements <strong>of</strong> Insurer to facilitate betterservices to beneficiaries e.g providing for standardized billing, ICD coding or etc and if mandatoryby statutory requirement both parties agree to review the same.8. The Hospital agrees to have bills audited on a case to case basis as and when necessary throughInsurer audited team. This will be done on a pre agreed date and time and on a regular basis.9. The hospital will convey to its medical consultants to keep the beneficiary only for the requirednumber <strong>of</strong> days <strong>of</strong> treatment and carry only the required investigation & treatment for the ailment,which he is admitted. Any other incidental investigation required by the patient on his requestneeds to be approved separately by Insurer and if it is not covered under Insurer policy will not bepaid by Insurer and the hospital needs to recover it from the patientArticle 3:Identification <strong>of</strong> Beneficiaries1. Smart Cards would be the pro<strong>of</strong> <strong>of</strong> the eligibility <strong>of</strong> BPL households and other non-BPLbeneficiaries (if applicable) for the purpose <strong>of</strong> the scheme. The beneficiaries will be identified bythe hospital on the basis <strong>of</strong> smart card issued to them.. The smart card shall have the photographand finger print details <strong>of</strong> the beneficiaries. The smart card would be read by the smart card reader.The patients/ relative’s finger prints would also be captured by the bio metric scanner. The POSmachine will identify a person if the finger prints match with those stored on the card. In case the68
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