Inpatient Health Insurance Claims
In the event that you require Inpatient Medical Treatment and you know about your treatment in advance of going to the hospital, you will usually need to complete a Treatment Guarantee Form prior to being admitted to the medical facility.
A treatment guarantee form is used by the insurance company to ensure that the treatment you will be receiving is covered under the policy, and will allow the provider to confirm payment of the treatment with the healthcare facility directly.
In an Emergency Situation it is often not possible to complete a treatment guarantee form. In the event of an Emergency you, or someone close to you, should contact the insurance company as soon as possible after you have been admitted to hospital in order to confirm payment of the bills.
Should the insurance company be unable to directly settle the hospital bill in an inpatient emergency situation then it will be necessary for the policyholder to settle the bill with the hospital and submit a claims form to the insurance company for reimbursement of their expenses.