Hospital & Surgical Insurance Claims Guide
Normal Procedure
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Notify your broker / insurer as soon as possible.
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Your broker / insurer will forward to you a copy of a claim form.
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Submit to broker / insurer the required documents:-
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Claim form duly signed and completed.
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Medical Report duly signed and completed by the attending physician.
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Original bills and receipts incurred in respect of the hospitalization.
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In a case where a Managed Care Organization is involved
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Notify the Managed Care Organization (MCO) immediately.
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The MCO will validate if the condition is covered by the policy and the best option for the required treatment.
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A letter of guarantee would be forwarded to the hospital by the MCO (hospital deposit is not necessary).
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Upon discharge from the hospital, the MCO will take over the settlement of validated medical bills.
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Any ineligible or excess expenses must be paid by the Insured upon discharge.