How do I submit late claim requests if I am from panel GP/Dental/Optical. Here are the steps below:
Scenario 1: Clinic manage to check in the patient on time but did not submit the claim within 24 hours' time.
- Go to your panel portal and look for Patient Check-ins tab.
- Go to Expired tabs and all the check-ins that have expired will show there and will require you to Request for late claim.
- Once requested, a pop-up will show and key in your (panel staff) name and the reason for late claim request.
- Once done, it will redirect you to the typical and usual claim submission page, key in all the necessary details like you would do during a normal claim submission.
- Once done, tick on I confirm the information here is correct and then click on Submit for approval.
NOTE: Once submitted for approval, it is not guaranteed of immediate approval and it is subject to company HR policy of the said patient for approval.
Scenario 2: Clinic missed to check in the patient and failed to submit the claim.
If panels missed to check in on-time and not submit the claim on the actual visit date and even after 24 hours of the actual visit time e.g., one day after or weeks or months after, we will require panels to email us at support@anzen.health with the completed details below:
- Patient Name:
- Patient NRIC/passport no.:
- Visit Date:
- MC Date (if any):
- Detailed Medication & Treatment breakdown: (Include name, quantity & price)
- Total covered amount:
- Total collect cash amount (if any):
- Total amount:
- Reason for late submission:
Once the above has been emailed, we will proceed to obtain for the patient's company HR for approval. If the company approves, then only we will advise the panel to continue the backdated check-in & claim submission in the system and we will proceed to do the backdating of the claim once the above email has been received.
However, if the company rejects the request, we will advise the panel on the rejection reason and advise to contact the patient directly for cash collection or for the panel to bear the cost if patient refuses to pay.
Again, it is crucial for the panels providers to contact us at HealthMetrics directly via live-chat that you can with the icon at the bottom right-hand corner of the portal/system or WhatsApp us at 016-247 6229 immediately for prompt assistance if you can't check in the patient on time as this can ensure timely check-in and claim submission.
NOTE: Please be informed that all late submission requests in the above 2 scenarios are subject to the patients' company approval. The company has the right to reject/not approve the late submission request and we have to adhere to their decision as it is stipulated in the agreement that panel clinics is to check-in on time and submit claim within 24 hours from check-in time.
Comments
0 comments
Article is closed for comments.