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User Manual on MediAssist HIS Portal

(Web Based Module)

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Background and Introduction

TCS understands the importance of having a healthy workforce for building a healthy and

productive workplace. For TCS, the health and wellbeing of all employees and their family is

paramount. Hence, TCS wishes to provide them with easy access to best-in-class medical

facilities through a Comprehensive Health Insurance Scheme.

A Health Insurance Scheme (HIS) is protection for an insured person against the costs of hospital and medical care arising from a medical condition. TCS facilitates this for its employees and their families by entering into an agreement with a nationally reputed Insurance Company in each country that it operates. The claims raised by TCS employees are processed by MediAssist India Pvt. Ltd., a Medical Insurance Third Party Administrator. As a part of the services to TCS, MediAssist has been advised to host a custom built application which allows the TCS employees to view their dependants detail enrolled under Health Insurance Scheme (HIS), register claims and check status of claims online. What is changing?

HIS claims submission and tracking for FY 2009-10 has been simplified. The current HIS Link in

Ultimatix – ESS has been phased out and has now been replaced by a new HIS Portal which is

owned and maintained by MediAssist and customized to exclusively service TCS employees.

This portal has been built with an objective to accelerate the process of HIS claims settlement.

The portal will also allow employees to track their claims with real time updates at every stage of

claim processing.

The portal is available for TCS employees and can be accessed through the following link

www.mediassistindia.net/Corporate.

Note:

1. For the next 2-3 months associates can access this link through internet explorer for HIS

claims submission and tracking.

2. Subsequently we will incorporate this link as the HIS portal link in Ultimatix.

Is this change applicable to me?

Yes, the new HIS portal is applicable to all TCS India associates, who need to claim

reimbursements on Domiciliary or Hospitalisation expenses incurred, under the provisions of the

current TCS India HIS scheme.

For availing cashless hospitalization facility the process remains the same, so this portal is not

applicable.

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Employee Module: Salient Features

1. Allows an employee to view insured dependant details.

2. Register claims (hospitalization and domiciliary).

3. Track claims online.

4. Escalate/ communicate grievances about claim processing.

5. View claims history.

The employee logs on to the application through the URL www.mediassistindia.net/Corporate.

For the first login:

1. The employee ID has been set as the user ID.

2. Employee ID@date of birth in ddmmyyyy format (e.g. 398560@01011980) has been set

as the default password.

It is mandatory that the TCS employee should change the password after the first login as a security measure.

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The home page would display the following functionalities:

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View Beneficiary:

On click of this link the employee can view the beneficiaries covered under the Health Insurance Policy. No modification in insured dependant details is permitted here. (Modification or changes in insured dependants is allowed at the beginning of financial year during specified period only through Ultimatix > HR Management)

Hospitalization Claim Registration:

This screen allows the employee to communicate his or her intention to make a hospitalization claim in advance (just intimation before actual claim submission this is mandatory as per IRDA (Insurance Regulatory and Development Authority of India) norms. The screen displays all dependants eligible for HIS benefits under the policy along with a Radio button.

On click of Radio button the claim registration screen opens out.

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On submission, the system generates a unique ID which would be the sole reference number for the employee.

Hospitalization Claim Submission: Using the unique number generated earlier, the employee would then register the claim under this link. On clicking this link, the following screen opens out. All intimations recorded earlier for the employee and beneficiaries get listed here.

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Each Registration ID has two links. One link (Registration ID) is to submit claim documents and the other (Edit) to edit registered details.

Employee can edit registered details using edit link and this edit is permitted only once per registration.

The employee clicks on the appropriate intimation number to record the claim submission details. On click of intimation number, the following screen opens out and this screen will allow him or her to enter details like ailment, available documents, number of documents, amount related to those documents etc.

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After submitting claim details the following screen will get populated with two vital

buttons. One is to edit the claim details and the other one to generate claim form and this claim form will be the acknowledgement for submission of claim. Employees need to cross verify all the details and if it requires any modification, use “Edit Claim Details” button and submit the modified details. The employee has to print this form, attach supporting documents and put the same in the drop boxes provided for it (details of drop box locations are provided in this document and on the MediAssist portal) or send it to MediAssist cubicles designated at the respective branches.

Note: Editing of claim details is allowable only once per Claim.

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View Claim

View Claim Details link will assist employee to scrutinize the submitted claims.

Click on view link to see the claim details and also to generate claim form which needs to be enclosed with the documents being submitted for that particular claim. Acknowledgement of receipt of the claim would be sent as an email to your respective ids once the documents are picked up.

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Domiciliary Claim Submission

This option is to submit all the domiciliary (Other than Hospitalization) Claims. Claim Intimation / Registration Process is not required for this process.

Enter all relevant details and submit to generate Unique Registration ID for identifying the Domiciliary Claim. After submitting the claim the system redirects to view page with two buttons, one for Editing claim details and the other for Generating Claim form. The employee has to print this form, attach supporting documents and put the same in the drop boxes provided for it or send it to Medi Assist cubicles designated at the respective branches.

Note: Editing of claim details is allowed only once per claim

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View Domiciliary Claim This option will assist employee to summarize registered Domiciliary Claims.

Claim Tracking

All reimbursement claims will be displayed in this window to help employee to track his /

her submitted claims, once the technical scrutiny has commenced against each and every entry.

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Claim Escalation This link is provided to the employees to enable them to communicate their

issues/concerns to the TPA regarding their claim/s submitted for processing.

Help line numbers: Toll free Line Number: - 18004259449 Cashless Help line Number: - 08032989055

There will be two links for escalations:

1. Level 1 escalation: On the click of this link, a mail will be sent to the designated corporate email ID.

2. Level 2 escalation: On the click of this link, a mail will be sent to designated HR and Finance email IDs. This link will become active if the issue is not resolved within 7 days from the day of level 1 escalation.

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Claim History Claims History displays past 3 years claim(s) details. In the first sheet current year claims

will get listed and an option is provided to check the remaining claims history with a simple button which will indicate the policy years.

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Drop Box Locations: Please submit claim forms and supporting documents in original in drop boxes.

Branch Location

Ahmedabad & Baroda

Tata Consultancy Services Ltd. 8th floor, Sakar I, Opp. Town Hall, Ellise Bridge, Ahmedabad.

Bangalore

Tata Consultancy Services Ltd PIONEER , International Tech Park Whitefield Road Banagalore -560066

Chennai

Tata Consultancy Services, No.21, Ambattur Industrial Estate, Ambattur, Chennai 600 058

Delhi Tata Consultancy Services 4, PTI Building, 4 & 5th floor, Sansad Marg, New Delhi - 110001,Delhi

Goa TATA Consultancy Services Tivim Industrial Estate, 17-B, Karaswada Mapusa-Goa

Hyderabad

Tata Consultancy Services, Plot No 1, Survey No. 64/2, Software Units Layout, Serilingampally Mandal, Madhapur , Hyderabad - 500034, Andhra Pradesh, India

Kollkata

TATA Consultancy Services, Plot-B1, Block-EP & GP, Sector-v, Salt Lake, Electronics Complex, Kolkata-700091

Mumbai

Tata Consultancy Services Ltd., Wellspring, Desk No.1D-37, Godrej & Boyce Complex, Gate No.4, Plant No.12, LBS Marg, Vikhroli (W), Mumbai - 400079.

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Pune

Tata Consultancy Services Ltd, Nyati Tiyara Bldg. Sr. No. 103/A1/129, Nagar Road , Yerawada , Pune

Trivandrum & Kochi

Associates in Trivandrum need to send the documents to your Kochin TCS - Office. Tata Consultancy Services Ltd, Vismaya Building, Info park, Kusumagiri, P. O. Kakkanad Kochi – 682 030, Kerala

Note: Please Mention “Hospitalization Claim No. _________” or “Domiciliary Claim No. _____________” in bold letters on every envelope along with your name and employee number.