Question
a.
The hospital covers the additional charges
b.
The TPA denies cashless facility
c.
The patient receives a discount on treatment
d.
The customer can dispute the treatment cost
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. What happens if incorrect details are entered into the pre-authorization form in the cashless facility process?
Similar Questions
Explore Relevant Multiple Choice Questions (MCQs)
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
Q. Why is identity proof important in the health insurance claim process?
View solution
Q. What specific documents may be required for accident claims?
View solution
Q. When does the scope of TPA services in health insurance typically begin?
View solution
Q. What is the primary purpose of TPA enrollment of members in health insurance?
View solution
Q. What do insured persons need to carry to relate them to the policy and TPA in health insurance?
View solution
Q. What does TPA issue to the hospital based on the information provided for requesting the cashless facility?
View solution
Q. Besides claims servicing, what additional function do TPAs typically have in health insurance?
View solution
Q. What should be looked into upon receiving a claim notification in Personal Accident insurance?
View solution
Q. What is the primary purpose of claims investigation in Personal Accident insurance?
View solution
Q. What are some examples of possible fraud in Personal Accident claims?
View solution
Q. Which document is important for the settlement of Personal Accident death claims?
View solution
Q. What should be included in the claim documentation for Personal Accident insurance?
View solution
Q. What is the role of assistance companies in overseas travel insurance claims?
View solution
Q. Which of the following services are typically provided by assistance companies for overseas travel insurance?
View solution
Q. What is the purpose of "Mortal remains repatriation" in overseas travel insurance claims?
View solution
Q. What is the role of an interpreter referral in overseas travel insurance claims?
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!