Rejections and Escalations in Health Insurance Claims

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Rejections in Health Insurance Claims

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Know what are the Rejections and Escalations in Health Insurance Claims.

Transcript of Rejections and Escalations in Health Insurance Claims

Page 1: Rejections and Escalations in Health Insurance Claims

Rejections in Health Insurance Claims

Page 2: Rejections and Escalations in Health Insurance Claims

What Affects Your Claim

Copay Waiting periods Limit on room rent

expenses

Page 3: Rejections and Escalations in Health Insurance Claims

Unread terms and conditionsLack of understanding of certain

policy clause

Escalations

Page 4: Rejections and Escalations in Health Insurance Claims

Non-declaration of material facts Hiding Pre-existing diseases Claims during waiting period Claims for conditions mentioned

under exclusion. Claims falling outside the

purview of policy coverage

Why are claims rejected?

Page 5: Rejections and Escalations in Health Insurance Claims

Declare pre-existing Provide all the details

correctly

To do