Indlela zeeNkampani zeInkampu zeeNtsholongwane zeMpilo Iinkqubo zamabango
Izigwebo zokugweba zibhekiselele ekumiselweni kwentlawulo ye-inshurensi okanye uxanduva lwezemali emva kokuba inzuzo yelungu le- inshurensi ilungu lisetyenziswe kwibango lezonyango.
Indlela iNkqubo yeeNkampani zeeNtshumo zeMpilo kunye neNkundla yokuBala iziBango
Inkampani yenkampani yomshuwalense yempilo ifumana ibango kwaye iqala ngohlolo lokuqala lokuhlaziya. Oku kubheka iimpazamo eziqhelekileyo kunye nolwazi olulahlekileyo.
Ukuba kukho ingxaki efana nokupeliswa kwegama lesigulane okanye ikhowudi yokufumanisa i-diagnostic missing, ibango liyakunqandwa ukuze liphinde lihanjiswe ngolwazi oluchanekileyo. Ukuba amabango angeniswa ngekhompyutheni, ukuqaliswa kokuqala kunokukwenziwa ngeprogram kwaye ukukhawuleza okungazalwanga okanye kubonakale kukho iimpazamo.
Ngokulandelayo, kuya kuhlaziywa ukujonga ibango malunga nezinto ezinzulu zemigaqo-nkqubo yokuhlawula abakhokheli. Iikhowudi zenkqubo kunye neyokuxilonga ziyahlolwa, kwaye i-NPI yonyango yonyango ihlolwe. Kule ngongoma, ukuba ibango lidlula, linokuhlawulwa, kwaye isiluleko esinikezelwayo singakhishwa kumgqirha kunye nesigulane.
Ezinye izimangalo zithunyelwa ukuphononongwa ngokubhaliweyo ngabahloli bebango lezonyango, ezinokubandakanya ootitshala bezonyango kunye nosheke lwamaxwebhu ogqirha. Oku kunokwenzeka ukuba kudingeke ukuba kwenziwe iinkqubo ezingabhalwanga ukuze kuqinisekiswe ukuba ziyimfuneko yempilo.
Le nxalenye yenkqubo ingathatha ixesha elongezelelweyo njengoko kubandakanya ukufumana iirekhodi zezokwelapha .
Inkcazo yokuhlawulwa kweeNkundla eziMangalo
Kukho iziphumo ezintathu zokubakho kwezigwebo. Ibango lingakhokhelwa ukuba lizimisele ukuba libuyiselwa. Inganakhokelwa xa ithe yazimisela ukuba ayibuyiselwa.
Inokuncitshiswa, ngokuqinisekileyo ukuba inqanaba leenkonzo zentlawulo alifanelekanga ukuxilongwa kunye neenkqubo zenkqubo. Ihlawulwa ke kwizinga eliphantsi ligqitywe ngabahloli bamabango.
Iseluleko sokuThumela okanye iNcazelo yeeNzuzo
Xa amabango aphathwa, umhlawuli uyazisa umboneleli weenkcukacha zomgwebo ngendlela yenkcazo yeenzuzo okanye iingcebiso zokubuyisela.
Kwimimangalo enesibambiso esisekondari okanye ephakamileyo , ingcaciso yomgwebi oyintloko kufuneka ithunyelwe, kunye nebango le-elektroniki, ukulungelelaniswa kwezibonelelo. Le ngcaciso kufuneka ifake:
- Inani lokuhlawula elihlawulwayo: Inani lemali ehlawulwa ngumhlawuli
- Imali evunyelweyo: Inani elivunyiweyo lilingana nemali yebango lonke elivunyiwe ngumhlawuli
- Inani elivunyelweyo : inani elivunyelweyo lilingana nenani lebango elipheleleyo elivunyelwe ngumhlawuli.
- Isixanduva Somonde: Inani lemali enoxanduva lomguli ogxininisa i-copay yesigulane, i-coinsurance, kunye nexabiso
- Inani elifihliweyo: Imali efunyenweyo ilingana nesixa semali ebhaliweyo efunyenwe ngumhlawuli
- Inani lesaphulelo: ixabiso leedola lomlinganiselo wokuhlawula umvuzo wokuqala okanye ukulungiswa kwemvumelwano
- Umhla wokugweba : umhla ofunwa ngawo umgwebo kunye / okanye uhlawulwa
Kwimimiselo apho kufuneka iphepha okanye ibango lekopi ekhutshiweyo, ikopi yenkcazo ye-inshorensi eyimfuneko kufuneka ifake ne-UB-04 okanye i-CMS 1500 ifomu.