Board requests health institutions to file claims meeting criteria

KATHMANDU:- The Health Insurance Board has requested the health institutions to file claims in line with Board’s criteria for their service to the insured patients.

The Board urged the health institutions to form a committee and review their claims before submission, reasoning that some health institutions had presented claims for health insurance services without meeting criteria, according to Board’s Information Officer, Bikesh Malla.

“In view of the errors rife in the documents submitted to claim reimbursement for their health services under insurance scheme to public, we requested to form a committee to review the amount of claims before submission,” he added.

The committee can cross check the files and claims to made these reasonable. Malla further informed that health institutions had submitted their claims worth Rs 100 million in a day to the Health Insurance Board.

The Board has to pay around Rs 12 billion as the health insurance amount to the health institutions so far. RSS