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Possible Reasons of Health Insurance Claim Rejection

A health insurance plan is very essential as it provides financial assistance during a medical emergency and help you save on the health care payments. Though it is so important, it has been seen that around 85% rural and 80% urban population is not covered under any health insurance plan. People may not be aware of the insurance coverages, the procedure of claim application and many more. These may be the reasons of not having a health insurance policy. But, even if you have a policy, you may not avail the benefits of it at the proper time. If you made some mistakes, your claim application may get rejected. Some of the possible reasons of rejection are:

Incorrect facts provided
When you are admitted in hospital and you need to make the payment of the hospital treatment, the insurance company first verify your claim. But, if there is any misrepresentation of the fact or incorrect facts are provided, they reject the claim directly. If you miss out something or make some mistakes, your application may get rejected. You should ensure to fill a claim form carefully and provide all relevant details correctly.

You can get more info here-  How to Claim Medical Insurance?


Incorrect claim procedure
While filling the claim form and providing the details, you must be extra careful. Generally, there is a set procedure followed by standard health insurance providers, but your insurance company may not have the same. You must be aware of the procedure followed by your insurance company, so that, your claim not get rejected.

Read More: Why Your Cashless Health Insurance Claim Could Be Denied?

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