Kathmandu. Nepal Insurance Board (NEB) has directed the health institutions to review their claims before seeking health insurance claims.
The Insurance Board of Nepal (IBN) issued a circular to all the service providing health institutions associated with the health insurance programme. “As per the Work Procedure Related to Claiming Real Time in Health Insurance, 2080 BS, in order to further simplify the claim verification and evaluation process and to reduce the rejection rate in the claims of the health providing health institutions, a committee has been formed with the representative of the health institutions before submitting the claim. The circular states.
In the event of failure to do so, the Insurance Board will not be obliged to pay the claims that have not met the prescribed criteria.
