Can panel hospital request for late claim submission for expired outpatient GL?

Replacing the Request for GL Extension feature that we currently have, once an outpatient specialist Guarantee Letter has expired i.e., did not submit the claim within the stipulated time, panel hospital users can request for a late claim submission request and will only have 14 working days to request/submit claim as Late submission in the portal.

NOTE: If hospital users fail to submit late claim request within the next 14 working days, the panel hospital will lose that said request and is subject for the panel hospital to bear/borne that loss of missed late claim submission or to contact the patient directly for cash collection for that said visit.

All expired specialist Guarantee Letters (GLs) that were not submitted as claim on time will appear under the Late submission widget as shown in portal. Panel hospital users may refer to the info icon under the Late submission widget to view more info on late submission. 

How to request for late claim submission?

1. Users can submit an expired checked-in Guarantee Letter as a Late submission by clicking the “Submit now” button under the Late submission widget.

2. Panel hospital users can click Submit now button to submit their late claim on the Panel dashboard. Once clicked on the Submit now button, users will be redirected to the Late submission creation page.

IMPORTANT: There will be notes which are essential for the Panel to take note of before making any late claim submissions which are the following:

1. This claim will be processed under specialist claims as a late submission
2. Late submission is no longer under GL because the GL is already expired
3. Late submission is only allowed within 14 working days from expiry
4. We will take 3 to 5 working days to review your late submission
5. There will be no guarantee for the claim to be fully approved if the patient is inactive to the company or the balance benefits amount is zero
6. The claim will be processed according to the company's policies

3. Hospital users then are required to fill all the required details which are compulsory on the billing details and submit for approval below.

4. A pop-up message will appear for users to confirm the submission. This is to allow the users to make any correction before submitting the late claim. After confirmed, the claim status will become Pending approval (Late submission).

Hospital users have option to proceed the submission by clicking Yes or No to not to proceed the submission