GUIDELINE FOR HEALTHCARE INSURANCE CLAIMS

Date: 05/02/2020

DOCUMENTS OF HEALTHCARE INSURANCE CLAIMS 

The basic Claim Documents include:

– Claim form
– Medical documents: prescription, results, tests, x-rays, discharge certificate, surgical certificate, appointment of physiotherapy, etc…
– Payment documents: medical bill, examination fee …
– Other documents: Accident report, driver’s license, vehicle documentation (in case of accident).

Depending on the case, there will be specific documents of that type of treatment. As follows:

1. Dental treatment

– Tooth treatment paper.
– Dental films (in case of pulp, extractions, fillings, etc., films are required)
– Money bill for dental treatment.
– Other papers …

2. Outpatient treatment

– Prescription, medical paper (stamped by clinic / hospital)
– Results of tests, x-rays … (if any)
– Payment such as invoices, receipts for medical examination and drug
– Detailed list of medical examination expenses (if the invoice does not clearly show the expenses for medical examination)
– The paper specifying the physiotherapy book and exercise schedule (if there is a physical therapy episode)
– Other papers …

3. Hospitalization / surgery

– Paper of discharge (For cases of hospitalization).
– Certificate of surgery (For surgical cases)
– Payment vouchers such as invoices, receipts for medical examination and drug money
– Detailed list of medical examination expenses (if the invoice does not clearly show the expenses for medical examination)
– Hospital transfer paper (If there is a hospital transfer)
– Other papers …

4. Personal Accident

– Accident report
– Driver’s license, vehicle certificate (in case of traffic accident)
– Medical documents: prescription, medical records. Laboratory results, x-rays …
– Payment vouchers: invoices, receipts ..
– Detailed list of medical examination expenses (if the invoice does not clearly show the expenses for medical examination)
– Other papers …

5. Death case

– Death Certificate
– Certificate of discharge (if any is in hospital)
– And other documents as instructed ..

NOTE

– A tooth treatment note must clearly state: full name of the insured, date of dental examination, cause of extraction, filling material, rooting procedures, full name of the treating physician, carpentry of the room Dental, hospital on tooth treatment note.
– The receipt, the receipt for the medical examination and the medicine must be the original. A bill of over 200,000 VND must be changed to VAT invoice. The bill of examination + test amount of over VND 200,000 must be changed into a VAT invoice.
– Prescription / medical examination book must clearly state: Full name of the insured, date of examination, diagnosis, name of drug, clear quantity of medicine and must have signature, full name of treating physician, rustic disease hospital / clinic on prescription.
– According to the regulations of the Ministry of Health, the time to buy medicine is within 5 days from the date of medical examination.
– Test results, X-ray … can submit a copy. Tests that are not related to the disease and tests that have Normal results are not paid.
– In the case of an occupational accident at the company, there must be a seal of the company on the report of the insured.
– In case of a traffic accident: a driver’s license is required.

 

 

 

 

 

 

 

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