ESIC Empanelment for Private Hospitals

How ESIC tie-up empanelment works

ESIC's own hospitals cannot offer every specialty everywhere, so it refers insured patients to tie-up hospitals for secondary and super-specialty treatment. Tie-ups open through empanelment notices issued by ESIC hospitals, state ESIS hospitals and regional offices. Each notice sets out:

• the specialties and services being sought;
• eligibility — beds, infrastructure, staffing, equipment, registration and accreditation;
• the rates and billing rules the tie-up will follow;
• documents, undertakings and deadlines.

Because notices differ, applications are frequently rejected for missing an annexure or misreading a clause. We read each notice line by line, confirm you qualify and prepare a complete, indexed application.

Documents hospitals are usually asked for

• Clinical establishment registration and statutory licences (fire, biomedical waste, pollution control, AERB, PC-PNDT, drug licence)
• Specialty-wise list of doctors with registrations and qualifications, nursing and technical staff
• Equipment list and infrastructure details, including ICU and OT
• Accreditation certificates (NABH / NABL) where held or required
• Existing empanelments (CGHS, ECHS, PM-JAY, insurers)
• Financial and tax documents, and undertakings in the format prescribed by the notice

After empanelment

ESIC referrals bring steady volume but demand discipline: referral validity, approvals for prolonged stays, correct billing against the agreed rates and timely submission. We help you set up the internal process so claims are paid without disputes.