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Cashless investigation of Railway Medical Beneficiary for Diagnostic Tests

Cashless investigation of Railway Medical Beneficiary (serving or retired employees and their medical beneficiaries) for Diagnostic Tests from Private Centres/Labs recognized by Railways

GOVERNMENT OF INDIA/भारत सरकार
MINISTRY OF RAILWAYS/रेल मंत्रालय
(RAILWAY BOARD)

NO. 2018/Trans Cell/Health/CGHSefile

Dated: 30.06.2020

The General Manager, All Indian Railways/PUs, NF(Con), CORE
The DG/RDSO/Lucknow, DG/NAIR/Vadodara
CAOs, DMW/Patiala, WPO/Patna, COFMOW/NDLS, RWP/Bela, CAO/TROAF

Sub: Cashless investigation for Diagnostic Tests from Private Centres/ Labs recognized by Railways.

In order to improve the Health Care System and to align with CGHS system, Board (FC & CRB) have approved the following:

1. Cashless investigation of Railway Medical Beneficiary (serving or retired employees and their medical beneficiaries) for Diagnostic Tests as per prescribed CGHS tests and CGHS rates from Private Centres/Labs recognized by Railways.

2. Cashless investigation for Diagnostic Tests from Private Centres/ Labs Recognized by Railways may be allowed with following documents and no further additional referral is needed:

2.1. Original or self attested copy of prescription of Railway Doctor.

2.2. Copy of UMID Card/RELHS Card/Medical Card of the patient and main card holder.

3. The Private Centres/Labs will produce the bills to the authority as being done in referral cases and the amount will be paid as per CGHS rates.

4. To remove any ambiguity, Zonal Railways may prepare a procedure order for smooth implementation and clearance of the bills. The same will be prepared by PCMD & PFA and approved by General Manager.

5. Other extant instructions/guidelines issued from Board on the subject shall remain unchanged or as modified from time to time.

This issues with the concurrence of Associate Finance of Railway Board.

Kindly acknowledge the receipt and ensure compliance.

(Umesh Balonda)
Executive Director/S&T
Transformation Cell

Click here to read/download the pdf

Also check the following links related to this topic:

Advisory to Empanelled HCOs under ECHS for Cashless Treatment of COVID-19 Testing

Suspension of cashless services to CGHS, ECHS beneficiaries if dues not paid in 30 days

Private hospitals threaten to stop cashless services under CGHS and ECHS

CGHS Empanelled hospitals claim unpaid dues and stop providing cashless services to beneficiaries

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