First, make sure everyone's okay. Then try to collect:
It's also important to obtain the name of their insurance company and a policy number when possible
Health Insurance Claim Process
Take a look at the both health insurance cashless and reimbursement claim process below:
The step-by-step procedure to avail a cashless claim under a health insurance policy is as follows:
Step 1: Get admitted to a network hospital of your insurance company and contact the insurance helpdesk at the hospital
Step 2: Show the health card issued by your insurer for identification
Step 3: The hospital will verify your identity and give you a pre-authorization form for cashless treatment.
Step 4: Fill in the pre-authorization form and submit it at the insurance desk
Step 5: The network hospital will submit the pre-authorization form to your health insurance provider.
Step 6: The insurance company will review your pre-authorization request along with the submitted documents and approve your cashless claim according to the terms and conditions of your health insurance policy. Some insurers also assign a field doctor to make the cashless claim authorization process easier
Step 7: At the time of discharge, pay for the medical expenses that are not covered by your health policy
Step 8: Your insurance company will pay the claim amount directly to the hospital as per the terms and conditions of your policy
Documents Required to File a Health Insurance Claim
Article ID: 141
Created: July 10, 2024
Last Updated: July 10, 2024
Author: [yogesh.bakle@teamhgs.com]
Online URL: https://agentx-om-kb-uat.hgsdigital.com/article.php?id=141