A hospital referral letter not only ensures that the patient receives appropriate treatment at the referred hospital/ department, but is also a vital document to validate the credibility of a health insurance claim. Continue reading to know more about it.
What is a Hospital Referral Letter?
A hospital referral letter carries the patient’s basic information, medical history, medications, reason for referral, urgency of referral, details of the doctor who is referring, hospital or department’s details where the patient is being referred to.
Why Is It Important?
- Evidence of Medical Necessity: Health insurers require a proof of medical necessity to approve the coverage amount. A certified copy of the hospital referral is a credible document for this purpose.
- Proof of Diagnosis: Details about the disease is important to ensure that it is covered under the policy
- Policy Compliance: Certain policies require hospital referral letter as part of their terms. Failing to submit it will lead to delay/ denial of the claim.
How to Get This Document?
You can contact your healthcare provider for the certified copy of your referral letter. You may also save an electronic copy for your records.
To ensure a seamless healthcare experience with no delays in claim processing, make sure you collect your hospital’s referral letter without fail and submit it on time .
