Procedures For Health Insurance Claims And Required Requirements To Be Disbursed Immediately!

Illustration of insurance (Doc. Antara)

YOGYAKARTA The health insurance claim procedure is still considered a complicated matter. This has an impact on low levels of health insurance awareness in the community. In fact, by having insurance, health problems that come at any time can be resolved properly.

In parallel, health insurance itself is a financing mechanism related to health needs. Financing is carried out by insurance companies to the responsible parties, in this case health insurance holders.

Meanwhile, insurance claims are applications officially submitted by policyholders to insurance companies selected by policyholders. Insurance claims are also the rights of policyholders and must be granted by the company in accordance with applicable terms and rules.

For those of you who want to make insurance claims, there are a number of documents that must be prepared, namely as follows.

After the documents that are required are ready, follow the steps of the insurance claim. It should be noted that when the policyholder does not meet the requirements, the company will reject the insurance claim.

Each company has different procedures, but in general the procedures that can be done are as follows.

Each health insurance company will include general requirements that must be met which include documents related to policyholders and documents related to medical conditions such as medical records, treatment fee notes, and so on.

The hospital will usually provide advice and assistance to patients to claim health insurance. You can coordinate with the finance department to get the necessary conditions.

Once the document requirements are met and coordination with the hospital has been carried out, you can immediately contact the insurance provider. This applies to road placement or hospitalization. It is not recommended to contact the company after the policyholder has recovered.

Several insurance companies will direct policyholders to visit hospitals that partner with the company. You can coordinate with the first hospital with an insurance partner hospital.

If you are in a hospital that is not partnering with an insurance company, then it is necessary to move by taking care of a number of documents. However, after moving to a partnering hospital, administrative affairs will be handled by the insurance company so that you or your family do not have to bother taking care of documents.

All maintenance costs will be paid by the insurance provided the costs are still within the maximum limits of the policy.

Health insurance has several benefits that policyholders can feel, namely as follows.

That's information related to health insurance claim procedures. To get other interesting information, visit VOI.ID.