After you file a reimbursement claim, the insurer may raise queries for these three major reasons:
Simplify insurer queries with advice from SureClaim experts for free!
A query is nothing but some simple questions on the expenses mentioned in the claim amount asking for more clarity on your paperwork or documents. Consult with an expert to identify what deficiency your claim paperwork may have and prepare for resolution with a plan of action.
A query can be raised for many reasons. If the query concerns information on your medical claim for an accident, there might be a requirement of doctor's narration and FIR. Talk to your insurer/TPA to understand what document they need. Ask an expert for more advice.
Ask us for any doubts on the query raised by your insurer!
If your insurer raises queries for medical history, it is generally for inadequate information. Your insurer may need more documents for clarity, e.g. first consult paper, investigation reports since the treatment started or other supporting documents. Ask an expert to help identify the paperwork deficiency.
If a query is raised for missing documents, your insurer may need supporting documents such as original copy of a document or lab reports for which you may have submitted a bill in your claim. Ask an expert to learn more.
After you submit a claim for an accident, clarification of the incident from doctors (to certify that the patient was not under the influence of alcohol) can be needed along with a copy of FIR and patient narration.
Insurer query is not the end of your reimbursement claim. You can talk to your insurer/TPA and
re-submit supporting documents for your medical claim. Ask an expert to know more.