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How To File Mediclaim - Step By Step Guide


Step-by-Step Guide to Filing a Mediclaim in India.


Step 1: Organize all receipts, bills, and medical reports. Arrange them in the order in which they occurred. Check that all of the papers include the necessary information, such as the patient's name, document number, serial number, cost price, authorised person's signature, and so on.


Step 2: Request a claim form from your insurance carrier. The claim form is usually available for download on the insurance company's website. Carefully read the instructions on the claim form. Complete the claim form with all of the relevant information. Make that the data is correct.


After that, have both the policyholder and the treating consultant to sign the claim form. The official hospital seal must also be imprinted on it.


Finally, attach to the claim form all applicable medical and policy documentation.

Documents pertaining to medicine include


The summary of the discharge

All medical records pertaining to the patient's condition

All papers include specifics about the treatments and procedures performed

A letter from the attending physician saying that the patient has recovered or is on the mend.

Documents relating to policy include


The TPA (Third-Party Administrator) card is a card that allows you to manage third-party


Step 3: Make duplicates of the original papers. Both the original and copies of the papers must be presented with the claim form. Only submitting copies is typically not approved. Attach the papers in a chronological or serialised sequence. Examine the documents thoroughly. Check that none of the paperwork supplied at the time of treatment is missing. The claim may be denied if any papers are missing at the time of filing.


Step 4: Attach the papers to the proper TPA. Your insurance provider can provide you with the name of the TPA. When you visit the TPA branch, request that an executive review the paperwork you've filed. The documentation must then be submitted to the executive. You should also send a set of copies of the documents to the health-care insurance company to notify them that the claim has been lodged. Mrs. Sindhu followed her friend's advice and was able to easily submit her mediclaim coverage. What a welcome relief! She could now devote her full focus to her family!

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