How to Claim Outpatient and Inpatient Health Insurance
One type of
insurance that is widely used by people is health insurance. Health insurance
aims to provide protection or protection to the insured when he is sick. So, if
you are sick and want to use insurance as payment, then you have to make a
claim first. How to claim health insurance is also very easy to do.
Health insurance
claims are generally divided into two types, namely outpatient and inpatient.
The two types have quite different claim procedures. Therefore, you need to
know the procedure for claiming health insurance for each of these types. Here
is the complete information that you can see!
How to Claim Outpatient Health Insurance
If you are sick
but want outpatient treatment, then you must do the following.
Filling in form
To make an
outpatient health insurance claim, the first thing to do is fill out a form.
Make sure you fill out the claim form with the correct data.
Completing Documents
After filling
out the form, then you must complete the required documents. The claim
documents, which include:
●
Proof of maintenance payment
and original receipt
●
Details of the original
doctor's treatment
●
Reports or medical records from
the original doctor
●
Cost of drugs and services
provided to the insured
Submitting a Claim to the Insurance Party
If all documents
are complete, then you can submit a claim to the insurance company. File a
claim as soon as possible because there is usually an expiration date.
How to Claim Inpatient Health Insurance
After knowing
the insurance claim procedure for outpatients, now is the time to know the
inpatient insurance claim procedure. To make an inpatient health insurance
claim, the following are the ways that must be done.
Meet Claim Requirements
The first thing
that must be done is to fulfill each item of the requirements for submitting a
claim. You can see various requirements for insurance claims in an insurance
policy. You must ensure that the policy is not in a grace period. In addition,
you must also ensure that the claim is submitted when the premium is active and
the premium installments have been paid off.
Contacting Insurance Company
After making
sure all the requirements are complete, the next thing to do is contact the
insurance company. Usually, you must contact the insurance company before
hospitalization. However, in the event of an emergency, you must contact the
insurance company no later than 2x24 hours after hospitalization.
Include Supporting Documents
When submitting
the requirements file to the insurance company, you must also include the
various supporting documents needed. The supporting documents include personal
identity, policy number, name of the intended doctor, doctor's referral letter,
name of the hospital, and the insured's medical condition.
Choosing a Hospital
After the
insurer accepts the inpatient claim submission, you will then be given
information regarding the hospital reference that the insurance company
partners with. Therefore, you can do hospitalization at an insurance company
partner hospital in order to get benefits in the form of not having to pay
upfront treatment costs.
Solution
After you choose
and arrive at the insurance partner's hospital, then you must show your policy
identity or insurance card. In addition, you also have to submit various
necessary administrative files to the hospital.
This is
information about how to claim outpatient and inpatient health insurance that
must be known by the owner of health insurance products. By submitting an
insurance claim, you can be helped financially to deal with unstable financial
conditions due to medical and care costs. This is one of the advantages of having health insurance
that you can get.
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