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What do You Need to Submit a Medical Aid Claim?

Submitting a medical aid claim is something you are likely to do a few times in your life, however like most types of admin it can be real headache…don’t worry we have got you! Knowing exactly what documents and information you need on hand will make he claims process a little bit easier! What Do You Need When You Claim? Detailed Account Depending on whether your procedure was outpatient or inpatient, you’ll need different kinds of accounts. For outpatient visits,…

Submitting a medical aid claim is something you are likely to do a few times in your life, however like most types of admin it can be real headache…don’t worry we have got you! Knowing exactly what documents and information you need on hand will make he claims process a little bit easier!

What Do You Need When You Claim?

Detailed Account

Depending on whether your procedure was outpatient or inpatient, you’ll need different kinds of accounts. For outpatient visits, gather up a detailed account of the procedures done during your doctor’s appointment. If you had an inpatient stay, you’ll want a breakdown of your hospital bill and your doctor’s bill—yep, they’re separate beasts!

ICD10 Code

Now, don’t let the fancy name intimidate you! These codes are like little keys that unlock the mystery of your medical procedures. They help your medical aid provider understand exactly what went down during your treatment. Trust us, they’re important!

ID Number and Medical Aid Number

These two amigos are your golden tickets. You’ll need them to prove that you’re the rightful policy holder when submitting your claim. So, keep them close!

Proof of Payment

Did you foot the bill yourself? No worries! Just hang onto that proof of payment—you might need it when claiming back those hard-earned bucks.

Where do You Submit Your claim

Usually, you can do it all online, but hey, rules might vary depending on your medical aid provider. If your doc or hospital hasn’t already taken care of it for you (lazy, huh?), reach out to your trusty broker—they’ll swoop in and save the day. And hey, if you’re taking matters into your own hands and submitting it yourself, don’t forget to CC your broker in the email or shoot them a quick heads-up.

Clarity Employee Benefits is an authorized Financial Services Provider – FSP No. 51007. We specialize in medical aid, please do not hesitate to contact us if you are in need of medical aid guidance or advice. 

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