Claims submission

1. Where you make Informed Healthcare Decisions
December 2017
Proudly presented by:
India’s largest health benefits administrator

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Step wise user manual for Online
Claim Submission

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Opt for preferred IP / OP service.
Choose provider based on tariffs,
discounts, pricing, location, etc.
Get provisional
preauthorization for
hospitalization
Upload documents and raise a
reimbursement claim online
Access claim status, medical
records, test results, online
Request door delivery* of
prescription medicines
*Orders fulfilled by authorized partners
Stay fit with mFitness apps
and corporate challenges
Cashless access for
sponsored services; online
payment for other bookings

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Hospital confirms / raises pre-
authorization online; Bills, discharge
summary, reports uploaded online
Insurer / HR dashboards to track utilization of
services by demographics, location, service, DC, etc.
STAKEHOLDERS: One
unified platform for
the entire ecosystem
Decision makers review portfolio; trend analysis
and modeling to review program design
OP appointments confirmed online Hospitals track claims online - from
origination to settlement and reconciliation
Hospitals update their PROFILE
on MediBuddy

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D

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Enroll
beneficiaries
online
• Sign up
• Online enrolment
• Single sign on
• Self-sign-up
• HR login
• Same set of logins for
the MediBuddy app
• Online enrolment
• Complex policy
configurations
• Mid-year changes
• Concurrent enrolment
windows
• Automatic premium
calculation
• Instant e-card and
unique Medi Assist ID
• Three-way
reconciliation of data
Unified screen for base + parental + top-up policies
SI slabs available as simple drop-downs Auto-calculation of premium payable based on choice of SI

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Receive a secure passcode via
SMS.
Track claim in real-time

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Happy to partner
Medi Assist
Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road,
Bangalore - 560 029
www.medibuddy.in
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