Question
a.
Owners and underwriters
b.
Regulator and customers
c.
Insurance agents/brokers and providers/hospitals
d.
Third-Party Administrators and customers
Posted under IC38 Life Insurance Agent Exam
Interact with the Community - Share Your Thoughts
Uncertain About the Answer? Seek Clarification Here.
Understand the Explanation? Include it Here.
Q. Which stakeholders may have conflicting objectives related to claims management?
Similar Questions
Explore Relevant Multiple Choice Questions (MCQs)
Q. Who among the following is not a stakeholder in Health insurance claim process?
View solution
Q. What is the purpose of the claim intimation process in health insurance?
View solution
Q. When is it typically required to provide claim intimation for a planned hospitalization?
View solution
Q. What is the purpose of the registration process in health insurance claims?
View solution
Q. In case of deficiency in claim documents, how should the insurer communicate with the claimant?
View solution
Q. What are the factors that decide the claim amount payable in health insurance?
View solution
Q. What are "Reasonable and Customary Charges" in the context of health insurance claims?
View solution
Q. How is the claim payment typically made in health insurance?
View solution
Q. What percentage of health insurance claims are usually found not to meet the policy terms?
View solution
Q. What should the insurance company do if it denies a claim?
View solution
Q. What is the primary purpose of cashless settlement in health insurance?
View solution
Q. How does the cashless facility work in health insurance?
View solution
Q. In the cashless settlement process, what is the role of the Third Party Administrator (TPA)?
View solution
Q. What should a health insurance customer do if they don't have their insurance details with them when seeking treatment?
View solution
Q. Why should a health insurance customer check if the hospital suggested by their consulting doctor is in the network of the TPA?
View solution
Q. What happens if incorrect details are entered into the pre-authorization form in the cashless facility process?
View solution
Q. What should a customer do if they decide to admit a patient to a different hospital after obtaining cashless approval at one hospital?
View solution
Q. What is the most important document required to process a health insurance claim?
View solution
Q. What role do investigation reports play in the health insurance claim process?
View solution
Q. Which document helps decide the amount to be paid under a health insurance policy?
View solution
Recommended Subjects
Are you eager to expand your knowledge beyond IC38 Life Insurance Agent Exam? We've handpicked a range of related categories that you might find intriguing.
Click on the categories below to discover a wealth of MCQs and enrich your understanding of various subjects. Happy exploring!