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Healthcare Facilitation to Patients coming to India for Medical Treatment

Healthcare Facilitation to Patients coming to India for Medical Treatment. Introduction. About Us.

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Healthcare Facilitation to Patients coming to India for Medical Treatment

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  1. Healthcare Facilitation to Patients coming to India for Medical Treatment

  2. Introduction About Us Vipul MedCorp Pvt. Ltd, a company promoted by Vipul group is engaged in the managed healthcare facilitation & has obtained a license from IRDA for TPA activities (Health) and offers its clients a wide array of services and products in the following areas: • Third Party Administration (Health) services (TPA) • Claims Handling, Management & Back office operations • HealthCare Assistance Services • Outpatient HealthCare facilitation & Management • Tailor Made Insurance products • Second Medical Opinion • Cost Containment Services • Preferred Service Provider (PSP) Networks • Evacuation Services & Health Care Facilitation to Patients visiting India

  3. Promoters and Management Promoters Vipul MedCorp Pvt. Ltd. has been promoted by Vipul Group. Vipul Group (consisting of Vipul Motors Ltd., Vipul Infrastructure Developers Ltd. and Vipul Facility Management Pvt. Ltd.) is promoted by Mr. Vinit Beriwala and Mr. Punit Beriwala, third generation entrepreneurs The promoters have a long-term vision of providing Complete Health and Medical Insurance products to the largely untapped Indian population. Management The Company has appointed, Mr. Rajan Subramaniam, a Management graduate and a qualified Insurance professional, as its CEO. He has wide experience in the TPA Industry and is assisted by qualified professionals from the field of Insurance and Healthcare.

  4. Profile of Vipul Group Vipul Motors Ltd is the 3rd largest dealers of Maruti Cars in India with approx sales of 10,000 cars per annum and an annual turnover of approx 300 cr. It operates dealerships in Faridabad, Noida, Gurgaon and Jaipur with Workshops and repair centers. It has been ranked 129th amongst Indian Companies in 2003, by Business Standard magazine (Jan 2004). Vipul Infrastructure Developers Ltd. is engaged in real estate development projects covering residential, commercial complexes, shopping malls and hotels. Some of the projects executed / undertaken by the company - Orchid Square - Orchid Plaza - Orchid Agora - Global Fortune Hotel - Orchid Floors / Garden (residential schemes) Vipul Facility Management Pvt. Ltd. is involved in management of properties, day-to-day housekeeping and security services, predictive and preventive servicing of electrical and mechanical equipment. The Company has a technical tie-up with Johnson Controls USA, a Fortune 500 Company, and is managing prestigious buildings viz. - Statesman House - PVR - AEZ Square - Global Business Park - Millennium Plaza - Orchid Square

  5. Our Infrastructure Vipul MedCorp - Infrastructure • Headquartered in Gurgaon with branch offices in New Delhi, Noida, Faridabad, Brindavan, • Jaipur, Mumbai, Kolkata & Bangalore. • Wide Medical Network of over 2000 + hospitals , Diagnostic Center & Chemists. • Operates a 24/7 Assistance Centre. • Tailor-made software developed in-house with full web-based access for Claims Tracking, On- • Line Access and Querying. • Professional manpower presenting our clients with benefits derived from our knowledge & • experience of the medical network , TPA & Insurance fields. • Dedicated Panel of Doctors, enabling us to render Second Medical Opinion, Case Management • and Medical Procedure Audit.

  6. Product Vision Vipul MedCorp – Product Vision • To increase medical care capacity • To augment the existing Product/Service • To provide the client with 24 hrs. service • To provide one stop shopping for all medical needs • To resolve the medical problem in a fast, efficient and convenient manner (improve employee • productivity). • To combine Medical Services with tailor made Insurance Products and offer Cash Less Services. • To render cost containment services to our clients on their medical claims • To offer total Health & Intermediary Insurance & administrative solutions • To offer hassle free health care facilitation to Patients visiting India for Medical Treatment.

  7. Competitive Advantage Vipul MedCorp –Competitive Advantage

  8. Country-wide Hospital Network Vipul MedCorp – Major Network Hospitals across India recommended for Expat Patients Delhi & NCR Mumbai Kolkata • Indraprastha Apollo Hospital • Batra Hospital • Holy Family Hospital • Sir Gangaram Hospital • Metro Heart Institute • Escorts Heart Institute • Indian Spinal Injury Centre • Kailash Hospital • Sitaram Bharatiya Hospital • Rajiv Gandhi Cancer Institute • VIMHANS Hospital • Shroff Eye Center • Breach Candy Hospital • Asian Heart Foundation • Lilavati Hospital • Jaslok Hospital • Hinduja Foundation • Bombay Hospital • Shroff Eye Center • BM Birla Heart Centre • Salt Lake City Medical Centre • AMRI Apollo Hospital Chennai • Apollo Hospital • Vijaya Hospital • Madras Medical Mission • Malar Hospital Bangalore • SagarApollo Hospital • Wockard Hospital • The Bangalore Hospital Pune • Jehangir Hospital • Grant Medical Centre Hyderabad • Apollo Hospital • Care Hospital • MedCiti Hospital • Yashoda Super Speciality • Hospital Chandigarh Ahmedabad • Fortis Heart Institute • Inscol Tertiary Care Hospital • Sterling Hospital • S A L Hospital

  9. Services for Patients Visiting India Vipul MedCorp – Services for Patients Visiting India • Evacuation Services i.e. Medical repatriation and medical escort. • Cashless Medical Service Facilitation at Network Hospitals up to limit authorized by Mission / • Government / Patient / Insurer • Processing of hospital bills after completion of treatment • Cost Containment services by tariff control and negotiated settlement • Online assistance to Expat patients during hospitalization & monitoring • Priority admissions in Hospitals • Hospitals / Nursing Homes all over India • Tariff rationalization & Provider accreditation.

  10. Services for Patients Visiting India Evacuation Services • Vipul MedCorp receives Medical history of patient online through website, before arrival in • India • Vipul MedCorp performs triage based upon the patient’s symptoms • Upon arrival, patient’s state is evaluated • In case patient’s state is critical, a state-of-the-art ambulance will be provided fully equipped • with life savers including ventilator, and accompanied by a critical Care Specialist. • In case of non-critical cases, patient will be escorted to restroom in a standard ambulance

  11. Services for Patients Visiting India Hospitalization and Discharge • Vipul MedCorp will choose and identify the type of admission required • Priority Admissions in hospitals all over India • Vipul MedCorp will set-up the required medical appointments and also schedule the actual • admission • In case of overbooking at Multi-Specialty hospital, interim arrangements will be made at triage • hospital / nursing home • In case of delay in admission, Multi-Specialty Hospital Consultant will visit Patient at triage hospital • Admission and Discharge coordination with hospital • Cash Less facilitation at hospital up to limit authorized by Mission / Govt / Patient / Insurer • Monitoring of treatment on a routine basis • Second Medical Opinion for critical cases • Negotiated tariff with hospitals

  12. Services for Patients Visiting India Administrative Services • Travel arrangement in India • Stay arrangement • -- Before Hospitalization • -- Post Hospitalization till onward journey • Ticketing • Send off till flight departure • Local attendant • Stay arrangement for attendant • Liason with Embassy / Mission / Govt / Insurer • Communication arrangements throughout stay at India • Ambulance / Vehicle arrangements

  13. Services for Patients Visiting India OnLine Web-based Access/ Software Support • Patient / Mission can access Vipul MedCorp’s website anywhere in the world • Patient’s details / Medical Conditions are entered online • Patient’s Family / Mission will get online Patient status daily • Hospital Records / Discharge Summary & hospital Bills can be viewed online • Bills / Repriced Bills / Hospital Tariff can also be viewed online • Communication with Vipul MedCorp triage center on online basis • Vipul MedCorp will present the patient’s complete Health Report online • Mission / Govt. will be provided complete statistics of Patients / Claim / Hospital Bills position / • Disease analysis on monthly/periodic basis

  14. Operational Flow Vipul MedCorp – Operational Flow

  15. Claim Management and Control Cashless Facilitation Procedure • Receipt & Record of Data & Member Enrollment of Patients Visiting India • Pre-Admission Authorization after checking Doctor Prescription, Admission Form, Hospital • Information • Hospital submits Original bills along with Doctor Prescription, Diagnostic Reports & Discharge • summary Claims Control Original Bills are verified & scrutinized against Standard Discounted Tariff - Cost Containment by Medical procedure audit & Bill scrutiny - 2nd Medical opinion taken for complicated cases - Repricing done on case to case basis. Cost Containment Cash Less Medical Services Lead to: Bill Scrutiny before release of payment - Discounted Rates – Eliminates Reimbursement Frauds - Medical Procedure Audit / Elimination of unnecessary prescriptions - Case Management All the above leads to Cost Containment & lowering of Medical cost

  16. Strategic Advantages Vipul MedCorp – Strategic Advantages • Access to Insurance / Risk Market Statistics & Actuarial database • Integrated web based software • All India Set-up • Infrastructure created for 100 seat Data Centre • Cashless facilitation at over 2000 Hospitals / Nursing Homes / Medicine Shops / Diagnostic centres • in 170 Cities • Web enabling for claims tracking and on-line access • Medical team of 15 Doctors • International expertise in tariff standardization & cost containment through ties with overseas TPA • Claims Control and Cost Containment Services, lowering the Medical costs • Second Medical Opinions to ensure that appropriate medical care is administered • Ability to identify and reprice out-of-network claims in order to achieve financial savings • Inprinciple negotiation with leading International Assistance / Evacuation Companies

  17. Corporate Office : 515 Udyog Vihar, Phase-V Gurgaon - 122016, Haryana Tel No. : +91-124-2438270-75 Fax No. : +91-124-2438276 Registered Office : Plot No. 208, Site I, Shankar Road Scheme, New Rajinder Nagar, New Delhi -110060 Tel No. +91-11-28741511 / 28745512 Fax No. +91-11-28742286 Email : info@vipulmedcorp.com Website : http://www.vipulmedcorp.com

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