Common use of For Reimbursement Claims Clause in Contracts

For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person’s discharge from Hospital: (a) The Policy Number; (b) Name of the Policyholder; (c) Name and address of the Insured Person in respect of whom the request is being made; (d) Nature of Illness or Injury and the treatment/surgery taken; (e) Name and address of the attending Medical Practitioner; (f) Hospital where treatment/surgery was taken; (g) Date of Admission and date of discharge; (h) Any other information that may be relevant to the Illness/ Injury/ Hospitalization. If the Claim is not notified to Us within 30 days of the Insured Person’s discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control. Kindly note that Company may de-list few of the hospitals and the Company shall not service any claims including re-imbursement claims for the treatment undertaken at these hospitals other than in case of a medical Emergency. List of de-listed hospitals would be available on our website and is subject to updates from time to time.

Appears in 4 contracts

Samples: Health Insurance Policy, Health Insurance Policy, Health Insurance Policy

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For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person’s discharge from Hospital: (ai) The Policy Number; (bii) Name of the Policyholder; (ciii) Name and address of the Insured Person in respect of whom the request is being made; (div) Nature of Illness or Injury and the treatment/surgery taken; (ev) Name and address of the attending Medical Practitioner; (fvi) Hospital where treatment/surgery was taken; (gvii) Date of Admission and date of discharge; (hviii) Approximate claim amount (if available) (ix) Any other information that may be relevant to the Illness/ Injury/ Hospitalization. If the Claim is not notified to Us within 30 days of the Insured Person’s discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control. Kindly note that Company may de-list few of the hospitals and the Company shall not service any claims including re-imbursement claims for the treatment undertaken at these hospitals other than in case of a medical Emergency. List of de-listed hospitals would be available on our website and is subject to updates from time to time.

Appears in 3 contracts

Samples: Health Insurance Policy, Health Insurance Policy, Insurance Policy

For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person’s discharge from Hospital: (ai) The Policy Number; (bii) Name of the Policyholder; (ciii) Name and address of the Insured Person in respect of whom the request is being made; (div) Nature of Illness or Injury and the treatment/surgery taken; (ev) Name and address of the attending Medical Practitioner; (fvi) Hospital where treatment/surgery was taken; (gvii) Date of Admission and date of discharge; (hviii) Any other information that may be relevant to the Illness/ Injury/ Hospitalization. If the Claim is not notified to Us within 30 days of the Insured Person’s discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control. Kindly note that Company may de-list few of the hospitals and the Company shall not service any claims including re-imbursement claims for the treatment undertaken at these hospitals other than in case of a medical Emergencyhospitals. List of de-listed hospitals would be available on our website and is subject to updates from time to time.

Appears in 1 contract

Samples: Insurance Policy

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For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person’s discharge from Hospital: (a) i. The Policy Number; (b) ii. Name of the Policyholder; (c) iii. Name and address of the Insured Person in respect of whom the request is being made; (d) iv. Nature of Illness or Injury and the treatment/surgery taken; (e) v. Name and address of the attending Medical Practitioner; (f) vi. Hospital where treatment/surgery was taken; (g) vii. Date of Admission and date of discharge; (h) viii. Any other information that may be relevant to the Illness/ Injury/ Hospitalization. If the Claim is not notified to Us within 30 days of the Insured Person’s discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control. Kindly note that Company may de-list few of the hospitals and the Company shall not service any claims including re-imbursement claims for the treatment undertaken at these hospitals other than in case of a medical Emergency. List of de-listed hospitals would be available on our website and is subject to updates from time to time.

Appears in 1 contract

Samples: Health Insurance Policy

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