162132User_Manual_for_Online_Claim_Submission.pptx

Claims submission

1. Where you make Informed Healthcare Decisions December 2017 Proudly presented by: India’s largest health benefits administrator

2. Step wise user manual for Online Claim Submission

3. Opt for preferred IP / OP service. Choose provider based on tariffs, discounts, pricing, location, etc. Get provisional preauthorization for hospitalization Upload documents and raise a reimbursement claim online Access c laim status, medical records, test results, online Request door delivery* of prescription medicines *Orders fulfilled by authorized partners Stay fit with mFitness apps and corporate challenges Cashless access for sponsored services; online payment for other bookings Step 1 --Click on Submit claim on your home page

4. Hospital confirms / raises pre-authorization online; Bills, discharge summary, reports uploaded online Insurer / HR dashboards to track utilization of services by demographics, location, service, DC, etc. STAKEHOLDERS: One unified platform for the entire ecosystem Decision makers review portfolio; trend analysis and modeling to review program design OP appointments confirmed online Hospitals track claims online - from origination to settlement and reconciliation Hospitals update their PROFILE on MediBuddy Step 2-Update your basic information along with bank details

5. Step 3- Update your Hospitalisation details along with the bill details

6. D Step 4-Need to update the claim document checklist and upload the scan of the claim documents

7. Enroll beneficiaries online Sign up Online enrolment Single sign on Self-sign-up HR login Same set of logins for the MediBuddy app Online enrolment Complex policy configurations Mid-year changes Concurrent enrolment windows Automatic premium calculation Instant e-card and unique Medi Assist ID Three-way reconciliation of data Unified screen for base + parental + top-up policies SI slabs available as simple drop-downs Auto-calculation of premium payable based on choice of SI

8. Receive a secure passcode via SMS. Track claim in real-time The below claim form will be generated, request you to submit the system generated claim form and original Claim form along with claims documents for further processing

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