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Which of the following best describes a 'Cashless Claim' in health insurance?

medium Q5 of Q15
Insurance Awareness - Health Insurance
Which of the following best describes a 'Cashless Claim' in health insurance?
AInsured pays hospital bills and claims reimbursement later
BInsurer directly settles the hospital bills at network hospitals after prior approval
CInsured receives cash from insurer before hospitalization
DInsurer pays claim amount after 60 days of hospitalization
Step-by-Step Solution
  1. Step 1: Define cashless claim

    Cashless claim means the insurer settles the hospital bills directly with the network hospital after prior approval.
  2. Step 2: Eliminate incorrect options

    "Insured pays hospital bills and claims reimbursement later" and "Insured receives cash from insurer before hospitalization" describe reimbursement or advance payment, and "Insurer pays claim amount after 60 days of hospitalization" is unrelated to cashless claims.
  3. Final Answer:

    Insurer directly settles the hospital bills at network hospitals after prior approval → Option B
  4. Quick Check:

    Cashless facility reduces financial burden on insured at hospitalization.
Quick Trick: Cashless = insurer pays hospital directly after approval.
Common Mistakes:
MISTAKES
  • Confusing cashless with reimbursement claims.
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