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  • Insurance Process Flow

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    probnoblem
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    This is a Overall process flowchart of the Claims Handling process of the Insurance Companies

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    This is a Overall process flowchart of the Claims Handling process of the Insurance Companies

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato PPT, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    9K visualizzazioni1 pagina

    Insurance Process Flow

    Caricato da

    probnoblem
    This is a Overall process flowchart of the Claims Handling process of the Insurance Companies

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato PPT, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 1

    Medical Insurance Claim Handling

    External Partner Assistance


    Client Assistance Call Center
    Service Provider Service Provider Claim Center

    Check Policy Status


    YesLimit
    Check Service
    Check VIP
    IDFY Coverage Rate
    IDFY Estim. Amount

    Aprv/Rejct Guarantee Get Invoice


    Contact Call Center Register Guarantee ID Aprv/Mdfy/Rjct
    Inform Guarantee ID Inform Decision Back
    Pay to Provider

    Visit Provider

    Check Guarantee ID
    Check Guarantee ID
    Issue Invoices to Client
    Issue Invoices to Client
    Get Money From Client
    Get Money From Client
    Give Receipt to Client
    Give Receipt to Client
    Generate Invoice to Ins.

    Get Receipts
    Get Guarantee ID
    Get Reimburced
    Aprv/Mdfy/Rjct
    Pay to Provider

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