Purple cow 2011 (admin)

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Purple cow 2011 (admin)

  1. 1. <ul><li>(Inpatient or Outpatient) </li></ul><ul><li>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: </li></ul><ul><li>1) you want to be treated by a non-accredited doctor; and/or </li></ul><ul><li>2) you want to be treated in a non-accredited hospital/clinic. </li></ul><ul><li>To get reimbursed, fill out the proper claim form, complete all the requirements, and submit all the documents. </li></ul><ul><li>For pick-up of your claims documents in Manila, please call Sheila (888-0001 ext. 846). </li></ul><ul><li>Outside Manila, please send via LBC to: </li></ul><ul><li>GRA (attention: Purple Cow ) 15/F Chatham House, Salcedo Village, Makati City </li></ul><ul><li>The standard wait period for reimbursement of claims is fifteen ( 15 ) working days. </li></ul>Reimbursement
  2. 2. <ul><li>Submit accomplished ‘Out-Patient Claim Form’ </li></ul><ul><ul><li>To be accomplished & signed by the Employee AND the attending physician </li></ul></ul><ul><ul><li>To be submitted to HR </li></ul></ul><ul><li>ORIGINAL of the following should be submitted: </li></ul><ul><ul><li>Official Receipt(s); </li></ul></ul><ul><ul><li>Prescription for the diagnostic test(s); </li></ul></ul><ul><ul><li>Medical Certificate in the absence of Out-Patient Claim Form but insured still has to accomplish the Out-Patient Claim Form </li></ul></ul>Outpatient Claim Checklist
  3. 3. <ul><li>Submit accomplished ‘Hospitalization Claim Form’ </li></ul><ul><ul><li>Part 1 - by the insured </li></ul></ul><ul><ul><li>Part 2 - by the authorized HR officer </li></ul></ul><ul><ul><li>Part 3 - by the ATTENDING physician </li></ul></ul><ul><li>ORIGINAL of the following should also be submitted: </li></ul><ul><ul><li>Official Receipt(s) bearing ‘BIR Permit Number’ </li></ul></ul><ul><ul><ul><li>Hospital bills, </li></ul></ul></ul><ul><ul><ul><li>Professional Fee(s) </li></ul></ul></ul><ul><ul><ul><li>Medicines bought outside the hospital but were consumed during confinement </li></ul></ul></ul><ul><ul><li>Statement of Account (SOA) </li></ul></ul><ul><ul><ul><li>Itemized list of expense, Charge Slips </li></ul></ul></ul><ul><ul><li>Police Report, when necessary </li></ul></ul>Inpatient Claim Checklist

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