We are dedicated and committed to our goal; ensuring you have a convenient claim settlement experience through an efficient and effective process. To accomplish this, we require all the necessary documentation.
If requested, a Justification letter from your treating doctor is a mandatory requirement to explain the ailment that has been identified and the treatment opted to ensure a comprehensive and fair evaluation of your claim.
Understanding the Justification Letter:
The “Justification Letter” is a letter from the treating doctor. This non-negotiable document is asked when a justification of the diagnosis vs treatment/medications given is required.
The Significance of a Justification Letter in Healthcare Claims:
The letter is crucial to assessing the payability of the claim as it justifies the diagnosis and hospitalisation, thus, clarifying the course of treatment and medications advised. Also, it justifies any irrelevant investigations or medications done to the patient.
What the Justification Letter looks like?
Addressing Challenges:
Ensure to submit the justification letter within the given time to avoid closure of your claim.
Conclusion:
The letter from your treating doctor is a pathway to a clear understanding of the diagnosis and the course of treatments & medication advised. This letter justifies any other services rendered to the patient during hospitalisation.
For a quicker decision on your claim, share the justification letter from the treating doctor, following the guidelines, at the earliest.
