Plum presents ‘e-imburse’ to simplify the health insurance claims process. Details here
Plum, India's foremost insurtech platform, which provides group health insurance and business insurance solutions to more than 3500 corporations, has introduced ‘e-imburse’, a digital-first solution for reimbursement claims.
Historically considered a complex procedure, reimbursement claims involve employees covering medical expenses and treatments upfront, and then seeking reimbursement from their insurance provider. The documentation needed for making a reimbursement claim includes:
● A filled and signed claim form
● Original hospital bills, inclusive of prescriptions, pharmacy bills, and receipts
● Diagnostic and laboratory reports
● Medical certificates authenticated by a physician
● The original discharge summary
The reimbursements constitute 40 per cent of total health claims across the industry, and we've noticed a comparable trend at Plum. The increasing favour for reimbursements can be linked to the restricted number of hospitals within the insurer's cashless network and the complexities of last-minute coordination with various parties.
Despite being labour-intensive and primarily reliant on manual processes, often involving a substantial amount of paperwork, this procedure remained unaltered by technological advancements for many years. With a focus on user satisfaction, Plum has successfully slashed the time required to process a reimbursement claim, reducing it from a minimum of seven days to just one hour.
‘E-imburse’ introduces several pivotal features that redefine the insurance claim submission procedure:
Paperless efficiency: Users are no longer required to complete or print claim forms, nor do they need to submit physical bills or hard copies.
User-friendly interface: The system offers an intuitive
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