Claims Administration for Reimbursement of Medical ExpensesService ObjectivesPREVIMEDICAL guarantees rapid and precise claims processing which respects time-frames and conditions indicated in the Fund Regulations. Each individual claim and processing phase can be tracked and is carefully documented allowing both underlying client and product house to monitor the administration process. Services Available PREVIMEDICAL offers the Health Care market a comprehensive Claims Handling Service which files and processes reimbursement claims for medical expenses for treatment received in medical facilities not part of the PREVIMEDICAL network (so-called "out-of-network" treatment). In particular, PREVIMEDICAL registers and analyses claims forms and accompanying documentation and transcripts (bills & receipts), reviews eligibility and investigates claims, determines correct claims payment, notifies in case of denial or requests additional documentation. The administration cycle is completed by PREVIMEDICAL producing bank payment instructions and product house reporting. All third party documentation received and claims processing documentation is stored historically for future reference & auditing. |
