HOW TO
CLAIM UNDER MEDICLAIM
Intimate your Insurance
Company/ T.P.A (Service Provider) at the earliest possible, preferably in
writing or email about the policy holder getting hospitalized in advance.
Go to the hospital where the
policy holder is to be admitted, fill in the pre authorisation form your part
and the rest by the Doctor concerned.
Take your identity proof along
any of the following so as to prove your identity, i.e Card provided by the
insurance co, pan card, election card or passport.
Please note CARD ISSUED BY THE
INSURANCE CO or T.P.A IS MERELY AN PROOF OF IDENTITY & INSURANCE. IT
DOESN’T ALLOW CASHFREE TREATMENT.
Ask the hospital to
communicate in advance the PRE AUTHORISATION FORM to the relevant T.P.A, wait
for the authorisation.
For REMIBURSEMENT CLAIMS
Inform and intimate the
Insurance co & the T.P. A about the admission in the hospital at the
earliest without any delay preferably in writing or email.
Once discharged fill in the
relevant Claim Form attach all the ORIGINAL BILLS, DISCHARGE SUMMARY, REPORTS
& RECEIPTS. Submit the above to the T.P.A in the requisite time, else the
claim could be denied.
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