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Hospital Empanelment Consultants for CGHS, ECHS, ESIC, PM-JAY, Insurers & TPAs

Get your hospital empanelled with government schemes, PSU and private insurers and TPAs. We handle eligibility, NABH readiness, documentation, portal filing, inspections and agreements, so you get more cashless patients with fewer rejections.

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Overview

About Medical Empanelment Services in India

Empanelment decides how many insured and scheme patients can walk into your hospital. Without it, patients covered by CGHS, ECHS, ESIC, Ayushman Bharat PM-JAY, state schemes, insurers and TPAs go elsewhere, even if your doctors and facilities are better.

Each scheme has its own eligibility rules, portals, inspections, rates and agreements, and one missing document can delay an application by months. I&D Hospital Solution manages the complete process for you, from checking eligibility and closing NABH gaps to filing, inspection, agreement and setting up your cashless claims desk.

We work with new and existing hospitals, nursing homes, eye and dental centres, day-care units, diagnostic labs and AYUSH hospitals across India, with remote and on-site support.

Why it matters

Key Benefits

More Patient Footfall

Access to lakhs of scheme beneficiaries and policyholders who choose only empanelled hospitals.

Assured Cashless Revenue

Regular, rate-based payments from government schemes, insurers and TPAs instead of cash-only patients.

Higher Bed Occupancy

A steady flow of planned and emergency admissions improves occupancy and doctor utilisation.

Stronger Brand Trust

Being on official CGHS, ECHS, PM-JAY and insurer lists signals quality to patients and referring doctors.

Fewer Rejections and Delays

Correct documents, rates and processes from day one reduce application objections and claim deductions.

Compliance Made Simple

We track renewals, MoA deadlines, rate revisions and scheme circulars so you stay empanelled.

Scope of work

What We Deliver

  • Scheme-wise eligibility report
  • NABH, Entry-Level NABH and NABL readiness guidance
  • Complete document checklist and preparation
  • Online application and HEM portal filing
  • Query and objection handling
  • Inspection preparation and support
  • MoA and agreement guidance
  • Tariff and package rate negotiation with insurers and TPAs
  • PSU insurer (GIPSA PPN) network empanelment
  • Cashless TPA desk setup and staff training
  • Renewal and compliance tracking
How we work

Our Process

  1. 1

    Free Eligibility Assessment

    We review your beds, specialities, licences and accreditation to identify the schemes you qualify for today.

  2. 2

    Gap Analysis and NABH Readiness

    We list what is missing, including NABH or Entry-Level NABH, NABL, licences and infrastructure, and help you close the gaps.

  3. 3

    Documentation

    We prepare and verify every document, form, tariff sheet and declaration each scheme and insurer requires.

  4. 4

    Application and Portal Filing

    We file on the relevant portals, including the Hospital Empanelment Module (HEM), and respond to every query.

  5. 5

    Inspection Support

    We prepare your team and facility for physical or virtual inspections and help close observations quickly.

  6. 6

    Agreement and Tariff

    We guide MoA or agreement signing, package rates, tariff negotiation with insurers and bank guarantees where applicable.

  7. 7

    Go-Live and Claims Desk

    We set up your TPA and scheme desk, train staff and support renewals so empanelment keeps delivering revenue.

Need help with Medical Empanelment Services in India?

Talk to our experts for a free assessment of your hospital.

Guides

Everything about Medical Empanelment Services in India

Detailed guides on eligibility, documents, process, cost and more.

Empanelment Schemes We Handle

CGHS (Central Government Health Scheme)

CGHS covers central government employees, pensioners and their families in 75+ cities. Hospitals need NABH or Entry-Level NABH accreditation, and diagnostic centres need NABL. Applications and billing run through the NHA systems, empanelment is typically valid for three years, and hospitals can claim NABH or NABL rates only for accredited services.

ECHS (Ex-Servicemen Contributory Health Scheme)

ECHS serves ex-servicemen and their dependants through regional centres and polyclinics. We help you meet ECHS criteria, prepare documents, face inspection and sign the agreement with the relevant regional centre.

ESIC

ESIC tie-ups give access to insured workers and their families. Empanelment usually happens through ESIC regional offices and hospital notices, and we help you respond with a complete, compliant application.

Ayushman Bharat PM-JAY and State Health Schemes

PM-JAY and state schemes are managed by State Health Agencies and use the Hospital Empanelment Module. We handle registration, speciality selection, documentation and follow-up with the State Health Agency.

PSU Insurers (GIPSA PPN)

Public sector insurers work with hospitals through the Preferred Provider Network (PPN). We prepare your tariff, documents and agreement for PPN empanelment.

Private Insurers and TPAs

We get your hospital onto the networks of leading health insurers and TPAs, negotiate package rates and set up the cashless process.

PSUs, Corporates, CAPF and Other Schemes

We also support empanelment with public sector undertakings, corporates, central armed police forces and other employer health schemes where they invite hospitals.

Eligibility and Documents Usually Required

  • Clinical establishment registration and hospital licence
  • NABH or Entry-Level NABH accreditation (NABL for labs)
  • Fire NOC, building completion or occupancy certificate
  • Biomedical waste authorisation and pollution consents
  • Bed strength, specialities and equipment list
  • Doctor and staff details with registration numbers
  • PAN, GST, bank details and ownership documents
  • Tariff list and package rates

Exact requirements differ by scheme, city and insurer. We give you a scheme-wise checklist after the free assessment.

Common Reasons Empanelment Applications Get Rejected

  • Expired or missing licences, NOCs or accreditation
  • Mismatch between declared and actual beds, staff or equipment
  • Incomplete tariff or package rate documents
  • Inspection observations not closed on time
  • Missed portal deadlines, MoA or renewal dates

Why Hospitals Choose I&D Hospital Solution

  • One partner for every scheme: CGHS, ECHS, ESIC, PM-JAY, state schemes, PSU and private insurers and TPAs.
  • Accreditation plus empanelment: our NABH and NABL consulting team closes eligibility gaps.
  • Beyond approval: cashless TPA desk management and claim recovery so empanelment turns into revenue.
  • Pan-India support: remote and on-site help for hospitals in metros, tier-2 and tier-3 cities.
FAQs

Frequently Asked Questions

What is hospital empanelment?+

Hospital empanelment is the process of getting a hospital approved by a government scheme, insurer or TPA so their beneficiaries or policyholders can take cashless treatment there at agreed rates.

Is NABH mandatory for CGHS empanelment?+

Yes. CGHS requires hospitals to have NABH or Entry-Level NABH accreditation, and diagnostic centres need NABL accreditation. Hospitals can claim NABH or NABL rates only for accredited services.

How long does hospital empanelment take?+

It depends on the scheme and application window. Insurer and TPA empanelment can take a few weeks, while government schemes such as CGHS, ECHS and PM-JAY can take a few months, including inspection and agreement.

Can a small hospital or nursing home get empanelled?+

Yes. Many schemes accept smaller hospitals that meet licensing, infrastructure and quality norms. Entry-Level NABH is often the fastest route for small hospitals to become eligible.

Which empanelment should a new hospital apply for first?+

Most new hospitals start with private insurers and TPAs, then add PM-JAY or state schemes, PSU insurer PPN and CGHS or ECHS as accreditation and track record build up. We recommend the right order after a free assessment.

What documents are needed for empanelment?+

Typically a clinical establishment registration, NABH or NABL accreditation, fire NOC, building certificates, biomedical waste authorisation, doctor and staff details, equipment list, tariff, PAN, GST and bank details. The exact list varies by scheme.

Do you help after the hospital is empanelled?+

Yes. We set up the cashless TPA desk, train staff, handle claims and deductions, and track renewals, MoA deadlines and rate revisions so the hospital stays empanelled.

Do you provide empanelment services outside my city?+

Yes. I&D Hospital Solution supports hospitals across India with remote documentation and filing, and on-site visits for inspections when required.

Medical Empanelment Services in India Across India

I&D Hospital Solution provides medical empanelment services in india to hospitals, nursing homes and healthcare centres across India, with remote support and on-site visits whenever needed. Share your hospital city in the form above and our team will guide you on the next steps.

States and union territories we serve

Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar Haveli and Daman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Major cities

AgartalaAgraAizawlAjmerAligarhAmritsarAsansolBareillyBathindaBengaluruBerhampurBhilaiBhubaneswarBikanerChennaiCoimbatoreCuttackDehradunDurgapurGangtokGhaziabadGorakhpurGreater NoidaGuwahatiHaldwaniHaridwarHowrahHubballiHyderabadImphalItanagarJaipurJalandharJammuJamshedpurJhansiJodhpurKanpurKochiKohimaKolkataKotaLehLucknowLudhianaMaduraiMangaluruMargaoMeerutMohaliMoradabadMumbaiNavi MumbaiNelloreNoidaPanajiPatialaPort BlairPrayagrajRishikeshRoorkeeRourkelaSalemShillongSilcharSiliguriSrinagarTiruchirappalliTirunelveliUdaipurVaranasiVelloreVijayawadaWarangal
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