HEALTH INSURANCE CLAIMS

sunandaC

New member
CLAIMS

HEALTH INSURANCE CLAIMS

How to submit customers claim with TPA for processing and reimbursement.

Step 1. Please collect all documents

Step 2. Please fill up the claim form provided to customer fully.

Step 3. Within 7 days after discharge, please lodge customers claim with TPA local branch for processing.

Please note, when lodging customers claim with TPA, please make sure that the documents are sent as per the check list mentioned below:

Document Check list for Health & Critical illness:

Hospitalization / Day Care Treatment

• First prescription of doctor with commencement date of the symptom of disease.

• Treatment papers along with doctors prescriptions

• Investigation reports (X-ray/Scan/ECG, Laboratory etc)

• Original medical bills and receipt of Hospital, doctors, medical shops, Diagnostic centre etc supported by Doctor’s advice.

• Hospital discharge card.

• Copy of FIR (if any in case of accident).

Critical Illness Claims

• Claim form duly completed.

• Original Specialist Doctor’s certificate confirming the diagnosis and when the symptoms first occurred.

• Relevant Investigation reports (Radiology, Pathology etc) confirming the diagnosis.


• Hospital admission & discharge card / certificate

Domiciliary Hospitalization

• First prescription of doctor with commencement date of the symptom of disease.

• Treatment papers along with doctors prescriptions

• Investigation reports (X-ray/Scan/ECG, Laboratory etc)

• Original medical bills and receipt of doctors, medical shops, Diagnostic centre etc supported by Doctor’s advice.

• Copy of FIR (if any in case of accident).

• Certificate from attending Doctor / Physician stating the condition of the patient is not permissible for him / her to be removed to Hospital/Nursing Home or documentary proof of lack of accommodation in hospital/nursing home.
 

jiten005

Banned
CLAIMS

HEALTH INSURANCE CLAIMS

How to submit customers claim with TPA for processing and reimbursement.

Step 1. Please collect all documents

Step 2. Please fill up the claim form provided to customer fully.

Step 3. Within 7 days after discharge, please lodge customers claim with TPA local branch for processing.

Please note, when lodging customers claim with TPA, please make sure that the documents are sent as per the check list mentioned below:

Document Check list for Health & Critical illness:

Hospitalization / Day Care Treatment

• First prescription of doctor with commencement date of the symptom of disease.

• Treatment papers along with doctors prescriptions

• Investigation reports (X-ray/Scan/ECG, Laboratory etc)

• Original medical bills and receipt of Hospital, doctors, medical shops, Diagnostic centre etc supported by Doctor’s advice.

• Hospital discharge card.

• Copy of FIR (if any in case of accident).

Critical Illness Claims

• Claim form duly completed.

• Original Specialist Doctor’s certificate confirming the diagnosis and when the symptoms first occurred.

• Relevant Investigation reports (Radiology, Pathology etc) confirming the diagnosis.


• Hospital admission & discharge card / certificate

Domiciliary Hospitalization

• First prescription of doctor with commencement date of the symptom of disease.

• Treatment papers along with doctors prescriptions

• Investigation reports (X-ray/Scan/ECG, Laboratory etc)

• Original medical bills and receipt of doctors, medical shops, Diagnostic centre etc supported by Doctor’s advice.

• Copy of FIR (if any in case of accident).

• Certificate from attending Doctor / Physician stating the condition of the patient is not permissible for him / her to be removed to Hospital/Nursing Home or documentary proof of lack of accommodation in hospital/nursing home.

Wow friend, it is really great work to share details on HEALTH INSURANCE CLAIMS and i am sure it would help many other people. Well, i am also sharing some important information on HEALTH INSURANCE CLAIMS.
 

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