Jul 24 2024, 10:25 AM
QUOTE(30624770 @ Jul 24 2024, 07:23 AM)
I don’t know about KPJ but nowadays a lot of hospitals have staff dedicated to getting GL letter and doing insurance claims.
Insurance normally won’t reject claims after issuing GL unless the doctor reports mentioned something else.
The main reason why insurance companies got more strict with claims in recent years is due to rising medical cost. One of the reason is private hospitals used to admit people for whatever reasons especially when you have insurance even though it’s unnecessary and can be outpatient only.
As usual, 1 or 2 claims rejected and become viral, some people will say insurance are scams a lot of claims are paid out daily by insurance companies but nobody viral them.
Insurance don’t pay claims are usually down to documentation issues or it’s not covered in the first place or people do not disclose properly when they buy insurance.
Like one of relative that work at private hospital...Insurance normally won’t reject claims after issuing GL unless the doctor reports mentioned something else.
The main reason why insurance companies got more strict with claims in recent years is due to rising medical cost. One of the reason is private hospitals used to admit people for whatever reasons especially when you have insurance even though it’s unnecessary and can be outpatient only.
As usual, 1 or 2 claims rejected and become viral, some people will say insurance are scams a lot of claims are paid out daily by insurance companies but nobody viral them.
Insurance don’t pay claims are usually down to documentation issues or it’s not covered in the first place or people do not disclose properly when they buy insurance.
That hospital got doctor (couple, husband and wife)
Keep throw patient into ICU even that patient can go normal ward....
And keep pit the patient in icu till the insurance limit maxup.....
Some patient can discharge also keep throw into icu so can charges more...
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