wbhealthscheme.gov.in Guidelines For Private Health Care Organisations HCOs : West Bengal Health Scheme

Name of the Organization : Government of West Bengal
Type of Facility : Guidelines For Private Health Care Organisations HCOs – West Bengal Health Scheme
Location : West Bengal

Website : http://wbhealthscheme.gov.in/First_page.aspx

Guidelines for Private Health Care Organisations( HCOs) regarding indoor cashless treatment under “West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme,2014″’ :
1. Online Verification of the Enrolment Certificate of the beneficiary with the hard copy he/she has produced before HCO through www.wbhealthscheme.gov.in.

2. Beneficiary (Patient) Admission on the basis of Medical Officer/ Treating doctors opinion ( Transaction ID will be generated per beneficiary per admission basis )

3. Discharge of Patient and submission of Bills for re-imbursement through www.wbhealthscheme.gov.in

Step-1:
The Private Empanelled HCOs will access http://wbfin.nic.in and will click on ‘Health Scheme Portal of Finance Department’.

Step-2:
In the Home Page of ‘Health Scheme portal’, there is a ‘Login’ option.The Login User-id and Password is already created for the HCOs and already sent to their respective e-mail IDs from Medical Cell, Finance Department through support.wbmedicalcell@nic.in.

( Otherwise ,For Login User ID and Password they are requested to contact us immediately in our e-mail ID support.wbmedicalcell@nic.in.)

Step-3:
At the time of first login, the HCO will have to change the password there itself and have to login again to enter inside the application and to remember the password.

Step-4:
After successful login , the concerned HCOs will get their profile with following details.
a) General Information
b) Bank Guarantee details
c) Clinical Establishment License details
d) No objection Certification from Fire details
e) Transaction Bank details, which they may edit but prior information to Medical Cell

Step-5;
One Menu will be available as ‘PATIENT ADMISSION’. On production of the Enrolment Certificate by the Beneficiary (Employee/Pensioner/their family member) to the HCO , the HCO will enter the Application ID No and GPF Account No. / PPO No. Then the HCO should click on “PROCEED” button. The list of Beneficiaries with Beneficiary ID No will be coming in drop down . Now the HCO will select the Beneficiary ID No. for the concerned patient (available in the Enrolment Certificate) from the mentioned drop down. Based on the above said three parameters, the details of Beneficiary as available in Enrolment Certificate now will be available in screen for on-line verification.

Step-6:
Then he will get the option Yes or No regarding admission of Patient. If Patient needs admission according to opinion of doctors then he /she has to click on Yes button.

Step-7:
Now the HCO has to click on the ‘ÓK’ button

Step-8:
After that a unique Transaction ID will be generated and will be visible to HCO

Step-9:
After completion of the treatment, if the concerned HCO thinks that the concerned patient can be discharged, then the HCO will again login and access the menu named ”Discharge Patient” and follow the procedure mentioned in step 5 again. After that HCO will have to enter ”Total Treatment Cost”. After that the HCO have to select whether the patient is fit for discharge ( Yes/No selection will be available)

Step-10:
Then Form-H Information Sheet for Cashless Indoor Medical Treatment will be generated with the Transaction ID. The details which are printed blank should be entered manually if applicable.

Step-11:
Form –D4 Essentiality Certificate cum Statement of Expenditure for cashless treatment filled under West Bengal Health for All Employees & Pensioners Cashless Medical Treatment Scheme, 2014 will also to be generated with the Transaction ID.

Step-12 :
Then HCO will submit the Bill along with the ” Form-H Information Sheet for Cashless Indoor Medical Treatment and Transaction ID and Form –D4 Essentiality Certificate cum Statement of Expenditure for cashless treatment filled under West Bengal Health for All Employees & Pensioners Cashless Medical Treatment Scheme, 2014. ” and supporting other documents as per the scheme