Insurance Awareness - Health Insurance
In case of a reimbursement claim, what must the insured do to get the claim amount settled?
In case of a reimbursement claim, what must the insured do to get the claim amount settled?
medium Q8 of Q15
Step-by-Step Solution
Step 1: Understand reimbursement claim process
In reimbursement claims, the insured pays hospital bills upfront and then submits all relevant documents to the insurer for claim settlement.Step 2: Eliminate incorrect options
Prior approval is not mandatory for reimbursement, submitting only discharge summary is insufficient, and insurer does not contact hospital directly in this case.Final Answer:
Pay hospital bills upfront and submit claim documents for reimbursement → Option AQuick Check:
This is the standard procedure for reimbursement claims.
Quick Trick: Reimbursement = pay first, claim later with documents.
Common Mistakes:
MISTAKES- Confusing reimbursement with cashless claims requiring prior approval.
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