Cashless investigation for Diagnostic Tests – Railways

Cashless investigation for Diagnostic Tests – Railways

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

NO. 2018/Trans Cell/Health/CGHSefile

Dated: 30.06.2020

The General Manager, All Indian Railways/PUs, NF(Con), CORE
The DG/RDSO/Lucknow, DG/NAIR/Vadodara
CAOs, DMW/Patiala, WPO/Patna, COFMOWINDLS, RWP/Bela, CAO/IROAF

Sub: Cashless investigation for Diagnostic Tests from Private Centres/ Labs recognized by Railways.

In order to improve the Health Care System and to align with CGHS system, Board (FC & CRB) have approved the following:

1. Cashless investigation of Railway Medical Beneficiary (serving or retired employees and their medical beneficiaries) for Diagnostic Tests as per prescribed CGHS tests and CGHS rates from Private Centres/Labs recognized by Railways.

2. Cashless investigation for Diagnostic Tests from Private Centres/ Labs Recognized by Railways may be allowed with following documents and no further additional referral is needed:

2.1. Original or self attested copy of prescription of Railway Doctor.
2.2. Copy of UMID CardIRELHS Card/Medical Card of the patient and main card holder.

3. The Private Centres/Labs will produce the bills to the authority as being done in referral cases and the amount will be paid as per CGHS rates.

4. To remove any ambiguity, Zonal Railways may prepare a procedure order for smooth implementation and clearance of the bills. The same will be prepared by PCMD & PEA and approved by General Manager.

5. Other extant instructions/guidelines issued from Board on the subject shall remain unchanged or as modified from time to time.

This issues with the concurrence of Associate Finance of Railway Board. Kindly acknowledge the receipt and ensure compliance.

(Umesh Balonda)
Executive Director/S&T
Transformation Cell

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