E-CLAIM SUBMISSION FWD MAX

AND
REIMBURSEMENT CLAIM PROCEDURE HALODOC
 FWD MAX
(E-FRIEND dalam FWD Max)
E-Friend
In the FWD Max Apps, there is an E-Friend as below:

E-friend is another new feature provided by FWD Life to help

Click e-friend on customers when checking claims, monitor claims quickly and easily.
FWD MAX Apps
If the customer wants to submit an e-Friend reimbursement they
only need to upload all the required claim documents.

There are option menu in

FWD Max as follows:
- Policy Information
- Member Information
- E-claim Submission
- Claim Accumulation
- Excess Claim
- Claim Information
- How To Guide
- Protect Me

Dan jika kalian mengalami kesulitan saat Login, atau mengenai e-friend untuk bantuan bisa hubungi CS kami
di Nomor : 021-1500 390 dan email : cs.cc@fwd.com
PolicyInformation
Policy Information contains information on your details (plans and
benefits)..

How to see Policy Information as below:

1. Click the Policy Information button
2. Click your member
3. Click Policy Year
4. Click your program policy
5. Click Button Search
6. Click the button plan or benefits that you will see
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MemberInformation
Member Information contains your personal data information, benefits How to see member information as below:
and you can also update your data here. 1. You click the member Information button
2. Click your policy & Policy Year
3. Click your member number
4. Click the search button
5. Click the benefits that you will see

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 How to Edit a Profile as below:
1. You click the Edit profile button, and you directly edit the data that you
want to change. For example: Mobile Number
2. Don't forget to click the Save Profile button

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E-Claim Submission
E-Claim Submission is a menu to submit claims according to your eligible benefits

Functioning for you to submit a reimbursement claim to FWD:

1. Click the Reimburse Claims Button,
2. Input date of treatment/visit date and discharged date,
3. Choose name (member name), Benefit Type, Hospital/Clinic Name, Fill in the nominal claim amount
(total amount), doctor name, Click “Next”
4. Prepare all claims documents,
5. Take a picture for original receipt/invoice, please write a note “already claimed to FWD” above the
receipt/invoice before being photographed,, Click “Next”
6. Upload all your medical documents, Click “Next”
8. Fill your detail bank account for payment,
9. If it is correct, Click “Submit Reimbursement Claim”
10. Your e-Claim have been submitted successfully. Click “Tracking Progress” for tracing your claims status.
11. Give your rate and feedback

Please contact the FWD under the click button for any further questions
"Call Customer Service“
ClaimAccumulation
Claim Accumulation is your accumulated claims that record in this menu.
How to see your Claim Accumulation as below:
1. You click the Claim Accumulation button
2. Click your policy, member number, benefit & Policy Year
3. Click the Search button, all claim accumulation will appear in this menu.

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ExcessClaim
Excess Claim is your excess claim menu. If you have excess it will appear all in this menu.

How to view your Excess Claim as below:

1. You click the Excess Claim button
2. All displays of excess will appear on this page if you have
3. excess claim.

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ClaimInformation
Claim information is contains your all claim information.
How to see the How To Guide as below:
1. You click the button Claim information
2. Click your policy, member number and don't forget to click Search
3. Choose the No Claim you will see

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ProviderMap
Provider Map is contains of FWD ‘s Provider list

How to view the Provider Map as below:

1. You click the Provider Map button
2. Select Provider Network & City

1 3. Click Button Search

4. The Provider display that you are looking for will appear

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 REIMBURSEMENT
CLAIM PROCEDURE HALODOC
REIMBURSEMENT CLAIM PROCEDURE HALODOC

✓ Participants can submit reimbursement claims for treatment/consultation/purchase of prescribed

medication through the Halodoc application.
✓ Participants submit document claims within 90 days of discharge from date of
treatment/consultation/purchase of prescribed medication (including re-claim).

• Documents to completed as follows:

✓ Original Receipt/invoice in Halodoc menu (capture/scan copy).
✓ "capture chat / consultation" with the doctor, which indicates the doctor's recommendation on the
drug/treatment given to the participant. The document is attached only to the end of the chat,
where there is information Notes form doctor for medical indication and diagnosis information.
✓ Please ensure when completing the data in Halodoc, participant name must be in accordance with
the name registered in the FWD to avoid obstacles during claim process.
REIMBURSEMENT CLAIM PROCEDURE HALODOC

• Claims that have been received will be processed :

✓ If through the e-Friend portal will be processed within 5 working days since the
original claim document received by FWD Life.

✓ If not through e-Friend portal, it will be processed within 7 - 10 working days since
the original claim document received by FWD Life.

• Documents that do not meet the above requirements will be informed by email to
Participants to be completed within 30 days from the notification sent by FWD Life.
CHECK LIST DOKUMEN FOR HALODOC REIMBURSEMENT

✓ Original Receipt/invoice in Halodoc menu ✓ "capture chat / consultation" with the doctor (the
(capture/scan copy). end of the chat), where there is information Notes
form doctor for medical indication and diagnosis
information.
Thank you