When discharged from the hospital, the insured can start insurance claims. You can call the insurance company first and ask what proof materials you need. Customers only need to mail or directly send the proof materials specified in the terms to the claims department of the insurance company, and generally do not need to fill in a complicated claim application form. Relevant supporting materials include medical expense receipts and diagnosis certificates, outpatient medical records, discharge summary, etc. If the customer is a caring person, if the code or customer number of the insured is indicated in the letter, it will greatly facilitate the subsequent processing.
PICC Health Insurance Company will make a settlement decision on general claims within 65,438+00 days after receiving the letter from customers. If a decision cannot be made within 10 days under special circumstances, the customer will also be informed of the handling process within 10 days, and the claim settlement will be completed in the shortest time after confirming the insurance liability. It is understood that every time a health insurance company makes a claim decision, it will inform the customer of the result in writing, including the claim decision and the payment details, and transfer the insurance money into the customer's bank account, so that the customer can receive the insurance money directly from his own bank account. If the customer disagrees with the settlement result, he can also call for consultation or apply for reconsideration of the settlement.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.