PROCEDURE FOR CLAIMING MEDICAL INSURANCE
Step 1 : COLLECTION OF PATIENT DETAILS
- ID card
- ID Proof
- Policy copy
- Preauth request form
- IP (or) OP case sheet
- investication report:1.scan / mri / ct scan / ultra sound reports
- Sent preauth form to concern.
Step 2 : MAKE A CALL
After senting the mail. Make a call after 30 mnts to sent a mail. Or In case of receive query, Sent again Id card, Id proof, policy copy, Preauth request form & op / ip case sheet.
Query answer letter. Take a print in letter pad, get sign, attach & sent. Make a call after 30 mnts. Receiving approval. Enhancement bill preparing day before of discharge of patient. Id card, id proof, enhancement bill, discharge summary. Sent a mail with above content with a previous day of patient discharge. Make a call with in 20 mnts to send mail. We receive approval, We receive some % of amount by way of claiming. And we receive another from patient.
Preparing of filling bill
- Final bill
- Lab report with bill
- Pharmacy bills & prescription
- Discharge summary
- Op (or) Ip case Sheet
- Pre authorization request form
- ID proof, Policy copy & ID Card
- Approval letter.
- Sent orginal in courier.
- Keep Xerox in file copy.