Your assistance is needed for us to pay your claims efficiently
Please always remember to send us proof of payment when you have paid for healthcare services yourself. If you don’t, our administrator will automatically pay the provider. As a consequence, this payment then needs to be reversed, recovered from the provider and then be paid to you, or you have to request a refund from the provider. This keeps you out of pocket for longer and results in higher administration costs for the Scheme.
We often receive claims by email with the proof of payment stapled or placed on top of the claim. The receipt sometimes covers important information, such as the date of the claim, amount claimed or treatment codes. If we receive a claim with missing or illegible information, the claim has to be rejected. To avoid additional work for you and the claims processing team, please double-check all information is complete and legible before your submit your claim.