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Purple cow 2011 (admin)
 

Purple cow 2011 (admin)

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    Purple cow 2011 (admin) Purple cow 2011 (admin) Document Transcript

      • (Inpatient or Outpatient)
      • You will only need to file for reimbursement if you seek treatment as a Private Patient and pay up front, versus seek treatment as an HMO Patient and not pay at all, because:
      • 1) you want to be treated by a non-accredited doctor; and/or
      • 2) you want to be treated in a non-accredited hospital/clinic.
      • To get reimbursed, fill out the proper claim form, complete all the requirements, and submit all the documents.
      • For pick-up of your claims documents in Manila, please call Sheila (888-0001 ext. 846).
      • Outside Manila, please send via LBC to:
      • GRA (attention: Purple Cow ) 15/F Chatham House, Salcedo Village, Makati City
      • The standard wait period for reimbursement of claims is fifteen ( 15 ) working days.
      Reimbursement
      • Submit accomplished ‘Out-Patient Claim Form’
        • To be accomplished & signed by the Employee AND the attending physician
        • To be submitted to HR
      • ORIGINAL of the following should be submitted:
        • Official Receipt(s);
        • Prescription for the diagnostic test(s);
        • Medical Certificate in the absence of Out-Patient Claim Form but insured still has to accomplish the Out-Patient Claim Form
      Outpatient Claim Checklist
      • Submit accomplished ‘Hospitalization Claim Form’
        • Part 1 - by the insured
        • Part 2 - by the authorized HR officer
        • Part 3 - by the ATTENDING physician
      • ORIGINAL of the following should also be submitted:
        • Official Receipt(s) bearing ‘BIR Permit Number’
          • Hospital bills,
          • Professional Fee(s)
          • Medicines bought outside the hospital but were consumed during confinement
        • Statement of Account (SOA)
          • Itemized list of expense, Charge Slips
        • Police Report, when necessary
      Inpatient Claim Checklist
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    •