How do I request for adjustment for the inpatient claims? (for panel inpatient hospitals)

REQUESTING ADJUSTMENT

Adjustment is the process of amending the inpatient bill/invoice amount after the final guarantee letter has been issued.

• Adjustment request MUST be submitted directly in HealthMetrics Portal within 8 calendar days.
  
• All request will be reviewed within 8 calendar days. Adjustment request can be done through
  (1) Dashboard or (2) Claims.

1. REQUESTING ADJUSTMENT FROM "DASHBOARD"

• Adjusting request can be done from “Dashboard” under the third panel “Final Guarantee Letters”. Filter options to filter out any unwanted information.

1. Click on Actions on the member’s/patient’s card.
2. Click on Request adjustment to submit a request.
3. Input and complete adjustment reason, adjusted final bill amount and add-on of specialist (if any), then click on Next to upload documents. Note: Attending Physician’s Statement can be printed from here as well.
4. To review the request by clicking Next, after uploading the necessary documents.
5. Click on Submit for approval after checking all information and documents. Note: Information can be amended by click on Edit.
6. Status of the adjustment request will be displayed in the Dashboard, awaiting approval from
   HealthMetrics.

2. REQUESTING ADJUSTMENT FROM "CLAIMS"

1. In claims listing - click on View to view desired claims
2. Scroll towards the bottom - click on Request adjustment to submit a request
3. Follow Step 3 to Step 6 mentioned above
4. Videos of system usage can be view and played at https://hmsonboarding.fleeq.io/l/4r61jmhmew-82u3k6idju