Question

What is the role of a network hospital in a cashless claim?

a.

Providing treatment without any pre-approval

b.

Providing treatment based on pre-approval from the insurer/TPA

c.

Requesting payment from the insured

d.

Filing a claim on behalf of the insured

Posted under IC38 Life Insurance Agent Exam

Answer: (b).Providing treatment based on pre-approval from the insurer/TPA Explanation:In a cashless claim, a network hospital provides medical services based on pre-approval from the insurer/TPA.

Interact with the Community - Share Your Thoughts

Uncertain About the Answer? Seek Clarification Here.

Understand the Explanation? Include it Here.

Q. What is the role of a network hospital in a cashless claim?
Add Comment

Similar Questions

Explore Relevant Multiple Choice Questions (MCQs)

Q. How is the payment made in reimbursement claims in overseas travel insurance?

View solution

Q. When are reimbursement claims typically filed by insured individuals in overseas travel insurance?

View solution

Q. What is the primary purpose of information provided by hospitals to assistance companies/insurers during overseas travel insurance claims?

View solution

Q. In the event of hospitalization during overseas travel, what is the first step the insured individual should take?

View solution

Q. What is the role of most hospitals when dealing with international insurance companies in overseas travel insurance?

View solution

Q. What is the role of an interpreter referral in overseas travel insurance claims?

View solution

Q. What is the purpose of "Mortal remains repatriation" 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 role of assistance companies in overseas travel insurance claims?

View solution

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

View solution

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

View solution

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

View solution

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

View solution

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

View solution

Q. Besides claims servicing, what additional function do TPAs typically have 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. What do insured persons need to carry to relate them to the policy and TPA in health insurance?

View solution

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

View solution

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

View solution

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

View solution
View All MCQs on IC38 Life Insurance Agent Exam

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!

Basic Chemical Engineering

Get a solid foundation in Chemical Engineering with our Basic Chemical Engineering...

Mechanics of Materials

Unlock the principles of Mechanics of Materials with our specialized category. Dive...

Food Engineering

Explore the fascinating world of Food Engineering with our specialized category....

Drug and Pharmaceutical Biotechnology

Navigate the world of pharmaceuticals and biotechnology with our dedicated category....

Highway Engineering

Navigate the road to efficient transportation with our Highway Engineering category....

Non Verbal Reasoning

Enhance your cognitive abilities with our Non-Verbal Reasoning category. Dive into...

Mass Transfer

Delve into the science of Mass Transfer with our specialized category. Explore...

Analytical Instrumentation

Dive into the world of precise measurements with our Analytical Instrumentation...

Verbal Reasoning

Sharpen your logical thinking and reasoning abilities with our Verbal Reasoning...