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Form Fill and Submission Contact

with all relevant Customer for
documents further details
Customer Submits Claim
Calls Call Center
Executive and send mails

Draft the details and

Call Center
Recieve the call forwards to Insurance
Executive No
clerk

Insurance Clerk If all pre- Yes

Recieves the
Verify the Claims requisites are
claims and
for following met
assigns Claim Id
No

If medical Yes
Inhouse Doctor Verifies the
claims and records are
medical records appropriate

No

Clarification from Yes

Hospital In Records are
Hospital
Charge Clarified
regarding claims

No

Claims Manager Review of the Approval from Records are

claims claims manager Clarified

Yes
Yes

Payment executed
Finance Officer Payment Details through Electronic
Payments

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