75% of health insurance claims rejected; here’s how to avoid rejection

livemint.com:

health insurance is crucial for ensuring financial protection in case of medical emergencies. However, it is disheartening to know that a majority of claims get rejected by insurance companies. According to Policybazaar, 75% of health insurance claims in India are rejected.

This highlights the need for policyholders to have a better understanding of health policies and avoid common pitfalls that lead to claim rejections. Let's take a closer look at the reasons behind these rejections and how policyholders can avoid them. Submitting a health insurance claim can sometimes be a daunting process, but having it rejected can be even more frustrating.

To ensure a smooth and successful claim experience, follow these essential tips: Verify coverage: Before seeking any medical treatment, thoroughly review your policy to understand what expenses are covered and any pre-authorization requirements. Provide accurate information: Double-check that all personal details, including name, address, and policy number, are correctly entered on the claim form. Ensure medical codes and treatment descriptions are accurate as well.

Keep documentation: Maintain records of all medical bills, prescriptions, and invoices, as well as any supporting documents related to your claim. This will expedite the process and protect against discrepancies. Submit claims promptly: File your claim as soon as possible to avoid missing any deadlines imposed by your insurer.

Timely submission increases the chances of receiving your reimbursement. Follow procedures: Understand the specific claim filing requirements of your insurance company. This may include filling out specific forms, attaching necessary documents, or adhering to certain billing practices.