Q. In the cashless settlement process, what is the role of the Third Party Administrator (TPA)?

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Q. What should a health insurance customer do if they don't have their insurance details with them when seeking treatment?

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Q. Why should a health insurance customer check if the hospital suggested by their consulting doctor is in the network of the TPA?

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Q. What happens if incorrect details are entered into the pre-authorization form in the cashless facility process?

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Q. What should a customer do if they decide to admit a patient to a different hospital after obtaining cashless approval at one hospital?

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Q. What is the most important document required to process a health insurance claim?

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Q. What role do investigation reports play in the health insurance claim process?

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Q. Which document helps decide the amount to be paid under a health insurance policy?

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Q. Why is identity proof important in the health insurance claim process?

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Q. What specific documents may be required for accident claims?

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Q. When does the scope of TPA services in health insurance typically begin?

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Q. What is the primary purpose of TPA enrollment of members in health insurance?

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Q. What do insured persons need to carry to relate them to the policy and TPA in health insurance?

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Q. What does TPA issue to the hospital based on the information provided for requesting the cashless facility?

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Q. Besides claims servicing, what additional function do TPAs typically have in health insurance?

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Q. What should be looked into upon receiving a claim notification in Personal Accident insurance?

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Q. What is the primary purpose of claims investigation in Personal Accident insurance?

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Q. What are some examples of possible fraud in Personal Accident claims?

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Q. Which document is important for the settlement of Personal Accident death claims?

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Q. What should be included in the claim documentation for Personal Accident insurance?

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