answersLogoWhite

0


Best Answer

Basically claims paid in situations when a insurer get hospitalized for any surgery. i.e The insurer don't have to pay for the treatment at the hospital and then make a claim for reimbursement of the expenses.

In such cases the insurance company has a service provider called the third party administrator (TPA) health services, who liaises with the hospitals and directly makes the payment for your treatment as per the terms of your policy and coverage.

User Avatar

Wiki User

8y ago
This answer is:
User Avatar

Add your answer:

Earn +20 pts
Q: When insurance company paid the claim in Health insurance?
Write your answer...
Submit
Still have questions?
magnify glass
imp
Related questions

What do you call it when the doctor bills the insurance company to get paid out?

A direct payment. Claim Submission. The Physician office will submit a "claim" to the insurance company in order to be paid for the services rendered.


What is an insurance recovery car?

Stolen car that claim was paid off by the insurance company. The car was later recovered. Because the claim was already paid the car is owned by the insurance company and they will typically sale these at auction.


What should you do if a claim is never paid?

Contact your insurance company and you can ask for arbitration.


Which life insurance company was paid the death claim of benazir bhutto?

alico


Can you claim and be paid out on two life insurance policies?

yes. even if they are from the same company.


How soon does beneficiary get paid from a life insurance company?

The beneficiary may usually be paid within 10-21 days after the insurance company has determined there is no fraud and the insurance payment is due as per the terms and conditions of the life insurance policy, and all necessary paperwork is in to them. The life insurance company usually requires the death certificate when making your claim. Make sure to review the "How to Make a Claim" section of the life insurance policy and contact the insurance company regarding what is necessary and who to send all pertinent information to in order to make your claim. If the claim is not paid in a timely manner, contact the insurance company and your insurance agent to follow-up. Also, you may want to contact the Department of Insurance in your state if you do not receive the Life Insurance Proceeds.


Will your medical insurance cover you in an auto accident?

Yes it should, but the auto insurance company may have to pay the medical insurance after the claim is paid.


Can a person submit an auto insurance claim after she was paid for half of the damages and then she decides to make a claim?

Paid by whom? And for what were they paid? It sounds like she took on the claim herself. In this case it will be very difficult to later want the insurance company to take over the claim and expect to receive payment from them as well. The insurance company in not going to want to take over a partial claim and they may not be able to legally do this depending on the state laws where the accident occured and where the claimants reside.


Who reimburse your health insurance provider that paid for medical bills if you received a settlement from your auto insurance you or auto insurance?

The insurance company would pay them directly to make sure they are paid.


Can the secondary insurance provider deny a claim that was not filed with the primary insurance provider first?

Let me tell you what happend to me. I hope that this helps. I used to be covered by two insurance companies. My primary insurance company was through the company that I worked with. My secondary was with the company that my husband works with. When a claim was filed with my secondary insurance company they wanted to know how much my primary insurance company paid for and until then they would not pay anything. So I had to submit to my primary insurance company and once they paid some then the secondary would. I hope that this helped:) * Yes. A claim must always be made with the primary insurer first.


If you were paid by an insurance company 6 years ago to get a new roof but did not and now have a different insurance company on the same house can you make a claim on the roof with new company?

You can make a claim, but if you are claiming the same damages that is insurance fraud and it is a federal crime. If you have unrelated damages you can make a claim, or you can disclose the prior claim to your insurance carrier and they will advise you if there is any coverage that would apply.


How can you find out when you last paid health insurance?

Off course you can check with that insurance company they surely have all the records of your health insurance installments and all. Or you can check your bank records.