Claims and Documentation

Consultations Note Advising Surgery

What is a consultation note advising surgery? A consultation note is a detailed document created by a healthcare provider after evaluating a patient considering cataract surgery. It includes basic patient

A-Scan Report

What is an A-scan Report? A-scan report is the result of A-scan ultrasound (a noninvasive, painless ultrasound procedure) that measures the eye, shows various lens options and powers, and suggests

IOL Sticker/Invoice

What is an IOL Sticker/Invoice? IOL or Intraocular Lens Sticker is a label found on the packaging of an intraocular lens used during cataract surgery. This sticker has important details

Settlement Letter

Settlement advice letter for main claim processed by other TPA/Insurer. Introduction A settlement letter is an official documentation from the insurer that clarifies your medical expenses and highlights the resolution

Room Rent Tariff

Room rent tariff is the agreed price set for a room between the hospital and insurer/TPA. This is applicable only in case of cashless claims. Hospitals are supposed to follow

Claim Status and Discrepancies

Claim status is the current stage of the claim, like: pending for data entry, under process (either under query or pending verification), or final decision (approval or denial). If any

Estimates and Cost Breakdowns

Estimates and cost breakdowns ensure transparency in the claims process and give a comprehensive view of the costs incurred. What you need to do now? To ensure smooth claim processing,

Ailment and Treatment Details

It is important to provide comprehensive and accurate information on treatment and ailments to evaluate the claim and determine required coverage. What Needs to Be Submitted? In addition to ailment

Hospital Main Bills

Hospital’s main bill to ensure your claim can be processed without delay. Make sure the bill is clear, detailed, and complete. Why is it important? The Hospital Main Bill includes

Implant Details

Learn why submitting an implant sticker and invoice copy is essential for your health insurance claim. These documents verify implant details, cost, and prevent fraud, ensuring faster claim processing.

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