Insurance Made Simple — Cashless Coordination, Real Time
“Cashless care, zero paperwork stress.”
We bridge the gap between hospitals and insurers. Pre-authorisation, cashless processing, GOP facilitation, and reimbursement — handled while you focus on recovery.
Medical insurance should bring peace of mind. But for too many families in Nepal, it brings confusion — endless forms, delayed approvals, denied claims, and arguments between hospitals and insurers while a loved one waits for treatment.
Key Health Assist eliminates that friction. As a licensed TPA (Third Party Administrator) coordinator, we sit between the patient, the hospital, and the insurance company — making sure claims are filed correctly, approvals come fast, and cashless treatment actually works.
Our insurance team includes former TPA directors and claims specialists who understand both sides of the table. We speak the language of hospitals and insurers fluently, so you don't have to.
What We Coordinate
Cashless Coordination
Real-time cashless treatment authorisation with Nepal's leading insurer networks at partner hospitals.
GOP Processing
Guarantee of Payment (GOP) letter facilitation for international insurers and corporate health schemes.
Pre-Authorisation
Fast-track pre-auth for planned procedures — submitted before admission to eliminate delays.
Reimbursement Claims
End-to-end reimbursement support: documentation, submission, follow-up, and settlement tracking.
Claim Dispute Resolution
Expert mediation for denied or partially approved claims. We fight for your rightful coverage.
Corporate TPA Services
Dedicated TPA support for companies: employee enrolment, claims dashboards, and utilisation reports.
How Insurance Coordination Works
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01
Policy Verification
We verify your insurance coverage, network hospital eligibility, and benefit limits within hours.
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02
Pre-Authorisation Filed
For planned treatments, we submit pre-auth to your insurer before admission. No waiting, no surprises.
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03
Cashless Approval
We chase approvals in real time. Most cashless authorisations are secured within 2-6 hours.
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04
Billing Coordination
We review hospital bills for accuracy, ensure insurer-mandated charges, and prevent over-billing.
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05
Discharge & Settlement
Smooth discharge with confirmed settlement. You pay only non-covered amounts, if any.
Partner Insurer Networks
We coordinate with all major insurance providers in Nepal including National Insurance Company, Nepal Life Insurance, Himalayan General Insurance, IME General Insurance, Sanima General Insurance, NLG Insurance, and others. For international patients, we work with Bupa, Cigna, Aetna, and major Gulf-based insurers (Daman, Tawuniya, Medgulf).
Frequently Asked Questions
How long does cashless approval take?
Most cashless pre-authorisations are processed within 2-6 hours for emergency cases and 24-48 hours for planned procedures. We follow up aggressively so you're never left waiting.
What if my claim was already denied?
We review denied claims, identify the gap, and represent you in the appeal process. Many denials are overturned with proper documentation and expert follow-up.
Do you charge for insurance coordination?
For patients using our hospital coordination services, basic insurance support is included. Complex claims and reimbursement support may carry a nominal processing fee, always disclosed upfront.
Let Us Handle the Paperwork. You Handle Recovery.
Whether it's a planned surgery or an emergency admission, get in touch and we'll verify your coverage before you even reach the hospital.