Common use of Claim Processing Clause in Contracts

Claim Processing. i. The Insured / Insured Person shall after intimation as aforesaid, further submit within 30 days of discharge from Hospital the following:- - Duly filled claim form(s) - Discharge / card from the Hospital / Medical Practitioner indicating the number of days of stay. ii. The Insured / Insured Person shall at any time as may be required authorize and permit the Company or anyone deputed by them in this behalf to obtain any further information or records from the Hospital, Medical Practitioner, Lab or other agency, in connection with the treatment relating to the claim. Where the documents submitted for claim are required for a claim under any other reimbursement policy, the documents will be returned after the processing of the claim on request of the Insured / Insured Person. Alternatively if the claim is submitted to another insurer / TPA for processing under an indemnity policy, attested copies from the Insurer / TPA may be provided with a copy of such indemnity policy. The above list is only indicative. The Company may call for additional documents / information and / or carry out verification on a case to case basis to ascertain the facts / collect additional information / documents of the case to determine the assessment of loss. Verification carried out if any will be done by Professional Investigators or member of the Service Provider and costs for such investigations shall be borne by the Company.

Claim Processing. i. The Insured / Insured Person shall after intimation as aforesaid, further submit within 30 days of discharge from Hospital the following:- following: - Duly filled claim form(s) - Discharge / Discharge/ card from the Hospital / Hospital/ Medical Practitioner indicating the number of days of stay. ii. The Insured/ Insured / Insured Person Person,shall at any time as may be required authorize and permit the Company themCompany or anyone deputed by them in this behalf to obtain any further information or records from the Hospital, Medical Practitioner, Lab or other agency, in connection with the treatment relating to the claim. Where the documents submitted for claim are required for a claim under any other reimbursement policy, the documents will be returned after the processing of the claim on request of the Insured / Insured/ Insured Person. Alternatively if the claim is submitted to another insurer / insurer/ TPA for processing under an indemnity policy, attested copies from the Insurer / TPA /TPA may be provided with a copy of such indemnity policy. The above list is only indicative. The Company may call for additional documents / documents/ information and / or carry out verification on a case to case basis to ascertain the facts / facts/ collect additional information / information/ documents of the case to determine the assessment of loss. Verification carried out if any will be done by Professional Investigators or member of the Service Provider and costs for such investigations shall be borne by the Company.