Galaxy Health Insurance pre-auth form, portal and email ID

Download the Galaxy Health Insurance pre-authorisation form, send it through the provider portal, and attach the documents below. Galaxy Health Insurance is a standalone health insurance company; the cashless decision is due within one hour under IRDAI rules.

Step by step

  1. Check the patient's health card

    Note the policy number, member ID and sum insured, and check who processes cashless: Galaxy Health Insurance itself or a TPA named on the card. That decides where this form goes.

  2. Take the Galaxy Health Insurance pre-auth form

    Use the Galaxy Health Insurance format if you have it, or the standard IRDAI cashless request form, which most insurers and TPAs accept.

  3. Fill it and attach the documents

    Patient part and declaration by the patient or attendant; clinical part by the treating doctor — duration of illness, provisional diagnosis with ICD-10 code, line of treatment and a cost estimate by head. Attach the documents listed below.

  4. Send it in time

    Submit it through the Galaxy Health Insurance provider desk with the documents below. Keep the reference number the portal or the reply gives you. Most policies require intimation within 24 hours of an emergency admission and 48–72 hours before a planned one.

  5. Track the decision and the discharge

    The cashless decision is due within one hour and final discharge authorisation within three hours of the hospital's request (IRDAI master circular, May 2024). Answer any query the same day.

Who handles Galaxy Health Insurance cashless requests

Galaxy Health Insurance is a standalone health insurer: it sells only health cover and usually settles cashless claims through its own claims team rather than a TPA. The pre-auth goes straight to Galaxy Health Insurance — through its provider portal or its pre-auth email — and the approval, queries and final authorisation all come from Galaxy Health Insurance.

Documents to attach

Cashless with Galaxy Health Insurance outside its network

Cashless is available at hospitals in Galaxy Health Insurance's network. If the hospital is not on the network list, the patient pays and files a reimbursement claim with Galaxy Health Insurance within the time the policy sets, with the original bills, discharge summary and reports. A hospital that treats many Galaxy Health Insurance patients can apply to Galaxy Health Insurance for empanelment.

Avoid a query

Most pre-auth queries come from three gaps: no duration of illness, no ICD-10 code, and a cost estimate given as one figure. The full field-by-field list is in how to fill a pre-auth form.

If Galaxy Health Insurance queries or denies the pre-auth

A query is not a rejection. Reply the same day, answering only what was asked, with the supporting document attached — see how to reply to a pre-auth query.

A cashless denial is not a claim rejection. The patient can pay, then file a reimbursement claim with Galaxy Health Insurance within the policy's time limit — the denial is often reversed when the full hospital file is seen. If a claim is finally rejected, it can be reconsidered through the grievance officer, IRDAI's Bima Bharosa and the Insurance Ombudsman.

Related guides

Galaxy Health Insurance at a glance

All pre-auth forms · Recover an unpaid Galaxy Health Insurance claim · Rejected claim assistance for patients

Pre-auth forms of other insurers and TPAs

Where can I download the Galaxy Health Insurance pre-auth form?

On this page. Medilock keeps the current Galaxy Health Insurance pre-authorisation form as a free PDF for hospitals — a hospital name and email are asked once per device. If no form is on file, the standard IRDAI cashless request form is accepted by most insurers and TPAs.

What is the Galaxy Health Insurance pre-auth email ID?

No pre-auth email ID is on file for Galaxy Health Insurance; requests are raised on the provider portal. If your hospital has been given an email ID, use the one in your empanelment letter.

How long does Galaxy Health Insurance take to approve a pre-auth?

Under IRDAI's 2024 master circular the decision is due within one hour of the request, and final discharge authorisation within three hours.

What if Galaxy Health Insurance denies cashless?

The patient can still pay and claim reimbursement. If the reimbursement is rejected too, it can be reconsidered through the grievance officer, Bima Bharosa and the Insurance Ombudsman — free, within one year, up to ₹50 lakh.

Galaxy Health Insurance का प्री-ऑथ फ़ॉर्म कहाँ से डाउनलोड करें?

इसी पेज से — अस्पतालों के लिए मुफ़्त। फ़ॉर्म भरकर प्रोवाइडर पोर्टल पर अपलोड करें। फ़ैसला IRDAI के नियम के अनुसार एक घंटे में आना चाहिए।