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    Reimbursement Query Letter

    Uploaded by

    Vivek Raja
    The document is a request from an insurance company to a hospital for additional information needed to process an insurance claim. It requests the complete discharge summary and detailed break up of maternity charges for a patient who was admitted for a single delivery by caesarean section. The insurance company needs this information to determine if the treatment and hospitalization would be covered under the patient's health insurance plan. It asks the hospital to submit the requested information as soon as possible.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Reimbursement Query Letter

    Uploaded by

    Vivek Raja
    1K views1 page
    The document is a request from an insurance company to a hospital for additional information needed to process an insurance claim. It requests the complete discharge summary and detailed break up of maternity charges for a patient who was admitted for a single delivery by caesarean section. The insurance company needs this information to determine if the treatment and hospitalization would be covered under the patient's health insurance plan. It asks the hospital to submit the requested information as soon as possible.

    Original Description:

    reimbursement letter

    Original Title

    835911 Reimbursement Query Letter (1)

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    The document is a request from an insurance company to a hospital for additional information needed to process an insurance claim. It requests the complete discharge summary and detailed break up of maternity charges for a patient who was admitted for a single delivery by caesarean section. The insurance company needs this information to determine if the treatment and hospitalization would be covered under the patient's health insurance plan. It asks the hospital to submit the requested information as soon as possible.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Reimbursement Query Letter

    Uploaded by

    Vivek Raja
    The document is a request from an insurance company to a hospital for additional information needed to process an insurance claim. It requests the complete discharge summary and detailed break up of maternity charges for a patient who was admitted for a single delivery by caesarean section. The insurance company needs this information to determine if the treatment and hospitalization would be covered under the patient's health insurance plan. It asks the hospital to submit the requested information as soon as possible.

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    © All Rights Reserved
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    WITHOUT PREJUDICE.

    CALL US ON 1860 425 3232 FOR ANY CLARIFICATIONS


    REQUEST FOR ADDITIONAL INFORMATION

    To DATE :15-DEC-18
    ALPA RAJA CCN :835911
    c/o TEAMLEASE BAJAJ
    6TH FLOOR,
    BMTC COMMERCIAL COMPLEX,
    80 FEET ROAD,
    KORAMANGALA CITY,
    BENGALURU,
    BENGALURU,
    KARNATAKA,
    560034,
    8108440505.

    Patient Name: ALPA RAJA


    Patient Card ID: GHNI0100164287
    Insured Empl ID: 1285549
    Insured Name: ALPA RAJA
    Corporate Name: TEAMLEASE BAJAJ
    Insurance Company : National Insurance Co. Ltd.
    Policy No.: 604500501710003047
    Hospital Name, City: NALINI MATERNITY & SURGICAL HOME, Mumbai
    DOA - DOD: 16-NOV-2018-19-NOV-2018
    Relationship: SELF

    We are in receipt of the hospitalization claim of ALPA RAJA in your Hospital


    From the information/Documents which we have received, it is indicated that the patient is being admitted for the treatment of Single delivery by
    caesarean section
    To ascertain whether the above treatment / hospitalization would be covered under the health insurance plan of the beneficiary, we would require
    the following information from the Treating doctor / Hospital :

    * Kindly Submit
    1. Complete discharge summary stating in detail obstetric history with gravida status( enclosed one is not acceptable)
    2. Detail break up of maternity charges 52000/-
    We request you to submit the above mentioned information/documents at the earliest for us to process the request.
    No Signature is required as this is a computer generated document

    Note: This is an auto generated letter,


    Kindly ignore this letter if you have already submitted the above documents/details.

    Printed on Sun Dec 16 10:18:35 IST 2018 Printed by System Page 1 of 1

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