Payment of insurance benefits Sample Clauses

Payment of insurance benefits. 1. The insurer is only obliged to provide benefits if original receipts are submitted and the required supporting documents are provided; these will become the property of the insurer. Where original receipts were submitted to another cost carrier for reimbursement, copies of invoices are deemed sufficient if the other cost carrier has noted his payment on the copy. 2. All receipts must contain -the first name and surname of the person receiving treatment and the name of the hospital and individual medical services with treatment dates; the prescriptions must clearly show the prescribed medication, the price and acknowledgement of receipt. In the case of dental treatments, the invoices must also contain the names of the teeth that were treated, along with the treatments that were carried out in respect of the same. 3. Supporting documents for benefits or refusal to provide benefits from other providers or insurance carriers must be provided. 4. In addition, the exact account name of the recipient of the cost reimbursement must also be indicated. 5. The insurer is entitled to provide benefits to the provider or sender of proper invoice documents and supporting documents, unless the insurer is aware of justified doubts regarding the legitimacy of the provider or sender.

Payment of insurance benefits. 3.3.1. The insurance company shall pay the costs of medical treatment received from, arranged by or delivered with the cooperation of the designated health care service provider directly to the designated health care service provider. 3.3.2. The Insurance Company shall pay the costs of emergency health care services received from other than the designated health care service provider in an emergency after consultation between the designated health care SP, the affected health care SP and the insured. 3.3.3. If the cost of a pre-paid health care treatment is settled by the insured, the insurance claim for recovering the costs of the health care service must be filed to the insurance company within 15 days from the issue of the invoice. 3.3.3.1. To enforce an insurance claim for covering the costs of any health care service, the following documents shall also be submitted to the insurance company: a) original invoices certifying payments, issued to the name and address of the Service Provider b) a copy of all medical documents related to the insured event. 3.3.3.2. The designated medical service provider (ADENIUM J.V. Kft) shall pay to the beneficiary the amount shown on an invoice issued for a service prepaid by the insured after applying deductibles (costs of medication, medical devices purchases, medical examinations, medical treatment, etc.) only within 30 days of the issue date of the invoice provided that the claim is legally grounded. Adenium

Payment of insurance benefits. Insurance benefits will generally be paid by Sunrise during the duration of the employment relation- ship. Employee claims against insurance companies shall be assigned to the employer. The employee shall sign such a declaration upon first request.