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Claims Procedure (A) easy for health claims (b) Claim Service Highlights Simplicity claims process Faster claims processing application data table Comprehensive services report notes ?Applicants ?Recipients Notes (A) the health insurance claims easily Insurance claims as an important part of the direct embodiment of service related to the vital interests of each customer. PICC Health Insurance Co., Ltd. As the first specialized health insurance company, using a new claims model, the majority of health insurance is committed to helping clients achieve easy claim. Has the following characteristics: 1 simplicity Application is simple: Just follow the insurance contract, the relevant documents submitted by mail or directly to the company claims department to complete the application. Receive simple: many recipients to choose from. You can choose according to their bank transfer, counter recipients way. For the convenience of customers, the company commissioned to allow recipients to others (need to fill out claim the power of attorney.) If the claims made by mail the application to receive insurance money by bank transfer, under normal circumstances can get your claim in the home. 2, dealing with rapid Is committed, the case of simple closed 3 days, 10 days of conventional closed the case, the special case of the facts are clear and specific responsibilities as soon as closed. 3, good service For claims decision, the company will notify you in writing, including "claims notice of decision" and "a breakdown of claims," and so on. On group insurance customers, the company will report regularly to the insured to provide Peifu. If your interpretation and decision on any questions or dissent, may consult by phone or in writing for re-trial. (B) Claim Service Highlights 1, the claims process ? 2, the claim application data table Files should be prepared to apply the code project description Insured out-patient medical 1,2,4,9 identification, beneficiary identification and proof of the relationship Certificate issued by the hospital diagnosis, prescription and medical records Certificate issued by the hospital diagnosis and medical history, such as hospital treatment the insured must provide the certificate issued by the hospital admissions and discharges The original medical expense receipts and detailed list Issued by the hospital accompanied by pathological microscopic examination, blood tests and other scientific methods of disease diagnosis certificate inspection reports The provision of hospital stay issued by the medical records during the intensive care unit Operation proved Insured issued by the hospital burn degree of physical disability or Certificate of Authenticity Accident proof (who advocate accident caused by an accident must provide proof) Issued by public security departments or hospital certificate of death of the Insured Cancellation of the insured household registration certificate The insured person declared dead by a people's court should provide proof of accident and the court declared dead missing the original verdict. The company's request for confirmation insured with the nature, causes and other information related to the other certificates and Hospital charges 1,3,4,9 The amount of insurance at the general hospital 1,3,4,9,13 Intensive care at the amount of insurance 1,3,4,6,13 Surgery medical insurance 1,3,4,7,13 Critical illness insurance 1,5,9,13 Accident disability insurance 1,8,9,13 Disease death insurance 1,10,11,13 Accidental Death 1,9,10,11,12,13 3, the report notes Please visit or other insurance after the accident promptly notify the Company reported receiving department. Medical treatment occurred, please notify within 72 hours, accidents and other major insurance accident, please notify within 24 hours. Notification to the person's name to escape from danger and ID number, location and status of escape from danger, and contacts. Notification methods can be telephone, fax, counter, letter, e-mail way. National Service Phone: 4006695518 4, Application Notes You can apply for claims made in the following ways: Application letter: a letter in the envelope marked "Claim" character, and carefully specify your customer number and name, enclose the appropriate original evidence of accidents. Counter to apply: In accordance with the relevant provisions of the insurance provisions, to carry the appropriate proof of the accident to the company for the original application materials 5 recipients Notes Once your claims application review and approval by the Company, the company claims will be made according to your application in the selected manner of payment recipients, specifically in the following ways: If you choose bank transfer recipients way, the company through the financial system directly to your designated bank account transfer payments. Need your bank, account name, account number and other information for the company in a timely manner for processing. If you choose to approach the counter of recipients, the company will be by letter, telephone, SMS or email to inform you that the place designated to collect the insurance money. When you come to recipients, the need to provide my ID card, claims the notice (if notified of the letter) and other documents. If you need to entrust others to collect the insurance money, provided by the client needs to be a power of attorney set out above, delegated authority, time limit and with your own signature. In addition, the client and the need to provide proof of identity by the client.
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