1. First and foremost , pls. provide all Health related important information while you submit your proposal for buying Health Insurance Policy. and ensure to carefully read the policy copy you receive from Insurance Company , also check whether pre existing diseases ( declared by you , if any ) are mentioned in policy documents. Please understand your insurance policy including the terms and conditions, deductibles, co-payments, and exclusions. This will help you understand what services are covered and how to file a claim correctly.
2. Provide accurate information: Make sure you provide accurate and complete information when filling out the claim form, including your personal details, the date and type of service, and the provider's name and address.
3. Keep all receipts and documentation: Keep all receipts and documentation related to the medical service or treatment, including prescription receipts, bills, lab reports, and test results. This will help you provide evidence for your claim and ensure that you are reimbursed correctly.
4. File your claim on time: Make sure you file your claim on time, within the deadline specified by your insurance policy. Late submissions may be rejected, so it's important to keep track of the deadlines.
5. Follow up on your claim: After you've filed your claim, follow up with your insurance provider to ensure that it is being processed correctly. If there are any issues or errors, address them as soon as possible to avoid delays or rejections.
It’s important to note that claim rejection can occur for various reasons, such as incomplete or inaccurate information, lack of coverage for the service or treatment, or exceeding your coverage limit. If your claim is rejected, you can contact your insurance provider to understand the reason for the rejection and how to resolve it. In case you don’t get a satisfactory resolution , you may get in touch with Mpathy Team with all details.