How to avoid rejection of health insurance claims?

  • Read the policy wordings very carefully at the beginning so that you are aware of what is covered and what is not.
  • Take copies of all the documents that you submit along with the claim form to the TPA for future reference.
  • Submit the claim request within 30 days of the hospitalization if you are including the post hospitalization expenses; send it within 90 days of hospitalization.
  • Check all the details provided in the claim form for accuracy.
  • Send all the necessary medical records to the TPA.
  • Gather sufficient medical opinion in support of the treatment and send it to the TPA.

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Avoid rejection of  health insurance claims


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