ClaimGet ESI Empanelment
- Top consultant for ESI empanelment
- Complete support from documentation to filing
- Get Empanelment, Rate negotiations, Reimbursement & Claim support
ESI Empanelment
What is ESI Hospital Empanelment?
ESI Hospital Empanelment is a process by which hospitals are recognized by the Employees’ State Insurance Corporation (ESIC) for the purpose of providing healthcare services to the beneficiaries of the ESI scheme. The empanelment process involves the evaluation of the hospital’s infrastructure, medical equipment, quality of healthcare services, & the qualifications & experience of its healthcare professionals. Once the hospital meets the necessary criteria & is empanelled, it can provide medical treatment & services to ESI beneficiaries, who can avail themselves of cashless treatment or reimbursement of medical expenses.
The empanelment process ensures that ESI beneficiaries have access to quality medical care at affordable rates & helps to regulate the cost of medical treatment. It also provides a mechanism for monitoring the quality of healthcare services provided by empanelled hospitals.
ESI Hospital Empanelment is an important initiative undertaken by the Employees’ State Insurance Corporation to provide quality healthcare services to its beneficiaries. The empanelled hospitals provide a range of medical services, including consultation, diagnostics, hospitalization, & surgeries, & are required to maintain certain standards of healthcare to retain their empanelment status.
About ESI
ESI stands for the Employees’ State Insurance, a self-financing social security & health insurance scheme for Indian workers. The scheme was launched in 1952 to provide financial & medical benefits to employees & their dependents. The scheme is administered by the Employees’ State Insurance Corporation (ESIC), which is a statutory body under the Ministry of Labour & Employment, Government of India. The ESI scheme provides various benefits to covered employees & their dependents, including:
- Medical benefits: Provides free & cashless medical treatment for covered employees & their dependents in ESI hospitals & dispensaries.
- Sickness benefits: In case of sickness or temporary disablement due to an injury, the ESI scheme provides cash benefits to the covered employee.
- Maternity benefits: Provides cash benefits to women employees during their pregnancy & childbirth.
- Disability benefits: In case of permanent disablement due to an injury, the ESI scheme provides cash benefits to the covered employee.
- Unemployment allowance: The ESI scheme provides cash benefits to employees who become unemployed due to retrenchment or closure of their place of employment.
- Dependent benefits: The ESI scheme provides financial assistance for the education of the children of covered employees.
The ESI scheme is funded through contributions from employers & employees. Employers are required to contribute 4.75% of the employee’s salary, while employees are required to contribute 1.75% of their salary. The contributions are made to the ESI fund, which is used to provide the benefits mentioned above. Overall, the ESI scheme provides an important social safety net for Indian workers, especially those in the organized sector, by providing them with financial & medical benefits during times of need.
How to get Empanelled with ESI?
It is possible for you to apply for ESI by yourself or with our help. We are one of the top consultants for ESI. Here are the steps for empanelment with ESI:
- Fill application form available at ESI website
- Upload the required empanelment documents
- Respond to the clarification emails from ESI
- Get the hospital inspection done (if mandated)
- Get final confirmation from ESI
Taking care of the above steps can be quite time-consuming for some doctors, hospitals, and clinics. That’s where we can help. Simply sign up with us, and we’ll handle everything for you.
Benefits of getting Empanelled with ESI
Getting empanelled with the Employees’ State Insurance Corporation (ESIC) can bring several benefits to hospitals, such as:
- Access to a large pool of potential patients: Provide healthcare services to its beneficiaries, which include millions of workers & their dependents, & can increase their patient base.
- Guaranteed payments: Receive guaranteed payments for the medical services provided to ESIC beneficiaries, which can help them manage their cash flow & reduce financial risks.
- Enhanced credibility: Enhance the hospital’s credibility & reputation, as it signifies that the hospital has met the required quality standards & is recognized by a government authority.
- Increased visibility: Hospitals can be listed on the ESIC website & other government portals, which can increase their visibility & reach.
- Competitive advantage: Provide hospitals with a competitive advantage over non-empanelled hospitals, as ESIC beneficiaries are more likely to choose empanelled hospitals for their healthcare needs.
- Regular audits: Empanelled hospitals are subject to regular audits by ESIC, which can help them identify areas for improvement & enhance the quality of their healthcare services.
- Capacity building & training: ESIC provides capacity building & training programs for healthcare professionals working in empanelled hospitals, which can help them enhance their skills & knowledge.
Top ESI Consultant
One of the top agents/consultants for empanelment. Our team includes doctors, healthcare professionals, and certified quality consultants.
Want to immediately start serving ESI patients?
Mantra Consulting helps you empanel with ESI. However, empanelment may take time and are contingent on approval form the TPA/ Insurance. Therefore, we also offer you an option to serve ESI patients without empanelment through our Reimbursement scheme:
- You share patient details with us
- Our expert team checks patients documents and the chances for approval
- You perform surgery of the patient
- Mantra pays you the surgery amount within 7 days
- Mantra followups with Insurance company and patients for the reimbursement
- Mantra bears the risk and hospital gets the payment!
