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CLAIMS PROCESSING GUIDANCE

Claims processing guidance is the fulfilment by an insurer of its responsibility to receive, review and act on a claim filed by an insured.

Claims Processing Guidance

Claims processing guidance involves multiple administrative and customer service layers that include review, investigation, adjustment (if necessary), remittance or denial of the claim.

The medical billing insurance claims processing would start when a healthcare provider treats a patient and sends a bill for services provided to a designated payer, which is usually a health insurance company.

With Red Cover Life Planning protection plan, we provide Claims Processing Services, Operations and Reference with a complete claims processing guidance to help you.

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The aims of this claims processing guidance are:

  • To ensure smoother claim processing and as a result providing good claim experience to customers.
  • To minimize claim pending.  Waiting time and rejection due to the basic requirement not met. For example, due to incomplete documentation or information submitted.
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Frequently Asked Questions (FAQ) about Claims Processing

Here are some of the FAQ about Claims Processing, Claims Forms, Payment and more.

i

Where can I obtain the claims processing form?

The claims processing form/ e-claim forms are available at AIA Life Planner Network via www.aia.com.my.

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If I am admitted overseas, will I still be able to claim back the expenses incurred?

For overseas medical expenses, please submit your claim with all the required documents.  We shall assess it accordingly as per the terms and conditions.

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How to check the claims processing?

Claim status will be communicated via SMS to the latest updated mobile no. in our system.  You may also refer your claim status which is available at AIA Life Planner Network via www.aia.com.my.

You are kindly being advised to inform us should there be any changes to your contact details.Visit any of our Customer Centres.

Contact our Care Lines – 1300 88 1899 (for policies with AIA Bhd.) or 1300 88 8922 (for certificates with AIA PUBLIC).

Get in Touch with Red Cover Life Planning

Contact Life Planning Advisor to get in touch with us and start your house insurance coverage plan now.  Get covered correctly.  Be advised correctly.  Call us today to be advised on the best insurance protection personalized for you.

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Claims Processing Guidance
Article Name
Claims Processing Guidance
Description
Claims processing guidance, a guide to claims insurance and frequently asked questions about claims to help you with Insurance Claims Processing, Claims Forms, Payment and more.
Author
Publisher Name
Red Cover
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Levine Lee

Life Planner at Red Cover Life Planning
Levine Lee is an expert AIA insurance agent and life planner. She has over 12 years of working experience with AIA and ING Insurance as an insurance agent and life planner.This makes her efficient and effective to manage clients for AIA Group Insurance Plans, AIA Life Insurance and AIA Takaful policies.Based in the Klang Valley in Malaysia, Levine serves her customers all over Malaysia, as they move between cities because of job changes.

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