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Insurance companies and Third Party Administrators receive an extension of twelve months to comply with network provider hospital standards and benchmarks. The authority applies this extension to all existing network providers. New entrants must still follow the original norms without any change. The instruction takes effect immediately and remains subject to specific court orders.
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Ref: IRDAI/HLT/GDL/CIR/122/07/2019
26th July, 2019
To
All Insurance Companies and Third Party Administrators
Re: Extension of timelines to comply with the Guidelines on Standards and Benchmarks for the Hospitals in the Provider Network
Reference is invited to IRDAI Circular ref IRDA/HLT/GDL/CIR/114/07/2018 dated 27th July, 2018 on the captioned subject.
In partial modification of the captioned guidelines, taking into consideration the status of the compliance by network providers, the timelines for complying with the standards and benchmarks specified at Clause (a) (i) and (ii) of the within referred Circular dated 27th July, 2018 stands extended for a further period of twelve months for all the existing network providers.
The norms specified in the within referred circular dated 27th July, 2018 shall continue to be applicable for all the new entrants and there is no change in other norms specified therein.
This Circular is issued in terms of Regulation 31(e) of the IRDAI (Health Insurance) Regulations 2016.
This Circular shall be applicable with immediate effect.
The above instruction is subject to the directions of the Hon'ble Delhi High Court in its order dated 29th May 2019 / 31st May 2019, in respect of W.P(C) 6237 of 2019, which needs to be complied with till further orders of the Hon'ble Court.
[Image omitted. See the official document.]
General Manager (Health)
सर्वे नं. 115/1, फाइनेंशियल डिस्ट्रिक्ट, नानकरामगुडा, हैदराबाद-500 032, भारत | Survey No. 115/1, Financial District, Nanakramguda, Hyderabad-500 032, India (न) : +91-40-2020 4000 वेबसाइट : www.irdai.gov.in | (J) : +91-40-2020 4000 Website : www.irdai.gov.in
