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  • SHAS

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    Gulame Goush
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    This document contains summaries of different types of claim files from a health insurance company: 1. For files with no observations, the file is sent to the nodal officer for any clarification or rectification needed. 2. For files with some observations, the claims on a specific page are revisited by the nodal officer. 3. For files in order for payment, the gross payment amount is recommended for approval and release after deducting taxes. Supporting details are referenced.

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    This document contains summaries of different types of claim files from a health insurance company: 1. For files with no observations, the file is sent to the nodal officer for any clarification or rectification needed. 2. For files with some observations, the claims on a specific page are revisited by the nodal officer. 3. For files in order for payment, the gross payment amount is recommended for approval and release after deducting taxes. Supporting details are referenced.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    5 views3 pages

    SHAS

    Uploaded by

    Gulame Goush
    This document contains summaries of different types of claim files from a health insurance company: 1. For files with no observations, the file is sent to the nodal officer for any clarification or rectification needed. 2. For files with some observations, the claims on a specific page are revisited by the nodal officer. 3. For files in order for payment, the gross payment amount is recommended for approval and release after deducting taxes. Supporting details are referenced.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    ‘

    Total Cases
    (Hospital Claim
    Amount)

    CPD
    CPD Approved CPD Query CPD N/A CPD Rejected
    unprocessed

    SNA approved SNA approved SNA approved SNA approved SNA approved

    Auto approved
    SNA reclaim SNA reclaim SNA reclaim SNA reclaim
    (N/A)

    SNA Query SNA Query SNA Query SNA Query SNA Query
    At the time of verification and When there is no observation
    Claim File
    We have verified the pre page note sheet and other supporting document correspondence to this
    file are found to be in order.
    Hence, the file may be sent to the respective nodal officer for the clarification/rectification
    needed.
    Submitted for further verification and necessary action.
    Joint CEO (Finance)
    At the time of verification and there is some observation
    Claim File
    We have verified the pre page note sheet and other supporting document correspondence to this
    file and found that some of the claims placed at page 00/C subjected to revisit by the Nodal
    officer.
    Hence, the file may be sent to the respective nodal officer for the clarification/rectification
    needed.
    At the time of Payment
    Claim File
    \
    We have verified the pre page note sheet and other supporting document correspondence to this
    file are found to be in order.
    Hence, the gross payment of Rs.00,00,000/- may be considered for approval in favour of private
    empanelled hospitals outside/inside state and may release after deduction of TDS amount. (Details
    attached opposite of this file at page no 00/C for kind reference)

    Submitted for further verification and necessary action.

    Payment of Non Claim File


    We have verified the pre page note sheet and other supporting documents correspondence to
    this file and found to be in order.
    Hence, gross payable amount of Rs.00,00,000/- may be considered for approval in favour of M/s
    ‘Company Name’ and release after deduction of TDS amount (IT & GST). (Details attached
    opposite of this file at page no 00/C for kind reference)

    Submitted for further verification and necessary action.


    Dy. CEO (Fin)cum AO SHAS

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