1. Medical abbreviations can make or break your insurance claim
Health insurance claims can be tricky, but sometimes, they take an unexpected turn, like this one. The reason?
Eg 1. Non-disclosure of AML (Acute Myeloid Leukemia), which is a type of blood cancer.
Now, here’s the catch:
– The client never mentioned having cancer at any point.
– The claim itself was for a completely different condition.
– This was news to everyone involved, including the client.
We swiftly took action by initiating an audit, and asked the insurer exactly which document proved this alleged non-disclosure.
After some persistent digging, we finally got our hands on the document that clarified everything, a medical consultation paper that stated: “AML since 3 years.”
We immediately sent it to the client, asking if this was a documentation error. They checked with their doctor, and here’s where things took a hilarious turn…
The doctor casually clarified: “AML since 3 years” meant Active Married Life since the past 3 years!
Moral of the story: Medical abbreviations can make or break your insurance claim, so you need a reliable partner, who can retrieve these documents from the insurer, interpret them accurately, and, if needed, challenge the insurer on your behalf.