Health Insurance How to make a claim (a guideline) | |
Claims are advised by the policy owner or the adviser, by letter or fax (urgent requests only). Requirements: Documentation:
Health claims prior approval service Most Health Insurance Companies have a prior approval service. This helps in paying claims quickly and efficiently. Prior approval service is where the insurance company is aware of a potential claim, the Health claim form is completed, the claim is assessed and the Insurance company advise of the decision made. If prior approval is given, a letter is sent to the client approving the claim. This letter guarantees that the Insurance Company will pay all relevant invoices (less any excess or other offset provision). The client must forward all invoices to the insurance company for payment. You can contact the claims team of your Insurance Company directly to advise of a possible claim under the policy. Or you can phone our office on 027 2048470 or email [email protected] if outside the Hamilton area to arrange prior approval. This process takes the financial worry out of what is already a stressful situation. |