Investigation reports supporting diagnosis: An Insurance Claim’s POV

We aim to ensure your goal of a hassle-free claim settlement when registering a claim is a reality. As we ascertain the process is convenient, swift, and seamless, we seek your support in ensuring the availability of every critical component required to evaluate and scrutinise the claim. One such crucial component is the availability of Medical Investigation Reports.

Understanding Medical Investigation Reports:

Investigation reports are comprehensive documents presenting the findings of medical tests or examinations, and summarising any procedures conducted on patients. They serve to confirm diagnoses and establish appropriate treatment plans. 

Please be aware that all investigation reports must be signed by qualified professionals, as mandated by the Supreme Court of India. 

The Significance of Investigation Reports in Medical Claims:

Every report and document supporting the diagnosis and treatment plan must be submitted to process your medical claim effectively. These reports enable our team to assess and conclude your claim accurately.

Examples of Investigation Reports:

Different medical conditions require specific reports to validate diagnoses. For instance:

  • Cataract: “A” Scan Reports assist ophthalmologists in determining the required power of the intraocular lens (IOL) for cataract surgery.
  • Hysterectomy: CT scan reports and Pap Smears (Biopsy) are essential.
  • Missed abortion: An ultrasound report is mandatory for diagnosis confirmation.

Investigation reports supporting diagnosis

Addressing Challenges:

Failing to submit these reports within the designated time frame leads to claim rejection. 

By partnering with us and providing the necessary documentation, you can expedite the claim process and achieve a favourable outcome.

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