EIP Medi Claim. EIP Insurance. Sensitivity: L&T Construction Internal Use

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1 EIP Insurance

2 EIP Medi Claim

3 EIP Medi Claim

4 Click on Generate Intimation after filling required details in Intimation Form.

5 As soon as you click on Generate Intimation the Claim Reference Number will be generated and displayed as shown below. After you click on Ok, the details filled by you in Claim Intimation Form will appear in Claim Intimation View Page as given below.

6 Then Click the link <<Back>> to go Claim Intimation Listing Page. Claim Intimation Status can be tracked by Claim Intimation Listing Page shown below. EIP View Status / Tracking Intimation Insurance Medi Claim

7 HQ - Insurance Department need to be acknowledge the intimation details to proceed further.

8 After acknowledgement of Claim Intimation by HQ - Insurance Department, In case the Hospital bill is settled by the Company: You will receive a mail intimation to collect Credit Letter from Concerned IC P&OD Dept. After completion of treatment, you need to collect your original documents from respective IC HR/OC Coordinators. Proceed with the submission of documents(upload soft copy)in the EIP. Then forward all the documents to SSC,to make payment to the Hospital. After payment,ssc will forward the documents to the IC coordinator,who inturn will submit to the Insurance department. Status of the claim can be viewed by the employee only after Hospital payment.

9 Hospital bill is settled by Staff: After completion of treatment, you can directly proceed with Claim Submission with necessary documents for reimbursement. For Claims paid by Staff, Documents should reach HQ - Insurance Department immediately after discharge from hospital but not later than 20 days from the date of discharge. For Claims paid by Company, Company payment Documents should reach HQ - Insurance Department immediately after discharge from hospital but not later than 45 days from the date of discharge. No claims will be entertained beyond the stipulated time (Staff payment-20 days & Company payment-45 days) mentioned above. EIP Insurance Submit claim View Status / Tracking Medi Claim Submission

10 Click on the Claim Reference Number listed in Claim Submission Listing Page shown below. The Actual Discharge Date, Amount of Claim and Billwise Details need to be filled in this page.

11 The Claim Intimation Details can be viewed from this Page itself by Clicking on the link View Intimation Details as shown below. The sum of individual bill values should equal to total Amount of Claim.

12 Amount of Claim = Individual bill total After filling the above details, click on Update Click on Ok to proceed further You need to attach the Scanned Documents i.e. soft copy of Original Documents by clicking

13 on Document Attachment before submitting the Claim After Document Attachment, Click on Back to menu to navigate back to Submission page. Now Click on Submit Claim

14 The Checklist will appear to confirm whether all the necessary documents are attached. As soon as you click on Ok, the following three links will appear to make a print and send to respective Insurance Co-

15 coordinator mentioned below along with the Original Documents. Claim Form Verification Check List Bill Wise Details Click on the link to take print out

16 Verification Check List

17 Bill Wise Details After receiving the original claim documents submitted by staff, the respective OC Insurance Coordinator will acknowledge and forward the same to HQ - Insurance Department. In case any additional documents are required, Insurance Department will return the documents through IC Insurance Coordinator for re-submission. After Scrutinizing the Claim Documents, Insurance Department will submit the same to the Insurance Company. If Insurance Company has any clarification, they may raise query through our system.

18 At every point of time, staff can View/Track the status of Claim through the system. EIP Insurance Submit Claim View Status / Tracking Medi Claim Settlement Click on the Claim Reference Number listed in Claim Settlement Listing Page shown below.

19 Claim status

20 Please contact (ICICI-Hot line number) for cashless related queries & updates. In case of any other clarification, Kindly contact Mr. S. Periaraja or Mr.Mohana Sundaram Telephone: , & respectively. *****

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