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HOW TO CLAIM UNDER MEDICLAIM


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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