Common use of For Reimbursement Claims Clause in Contracts

For Reimbursement Claims. For all claims for which Cashless Facility have not been pre-authorized or for which treatment has not been taken at a Network Provider, We shall be informed of the claim along with the following details within 48 hours of admission to the Hospital or before discharge from the Hospital, whichever is earlier: i. The Policy Number; ii. Name of the Policyholder; iii. Name and address of the Insured Person in respect of whom the request is being made; iv. Nature of Illness or Injury and the treatment/Surgery taken; v. Name and address of the attending Medical Practitioner; vi. Hospital where treatment/Surgery was taken; vii. Date of admission and date of discharge; viii. Any other information that may be relevant to the Illness/ Injury/ Hospitalization.

Appears in 8 contracts

Samples: Insurance Policy, Insurance Policy, Insurance Policy

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!