There are 5 types of claims :
S.No | Type | Sub-type | Definition |
1. | Institutional | Emergency Inpatient | Hospital, clinic inpatient claims |
2. | Dental | Outpatient | Dental, Denture and Hygiene claims |
3. | Pharmacy | Outpatient | Pharmacy claims for goods and services |
4. | professional | Outpatient | Outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consultation |
5. | Optical | Outpatient | Vision claims for professional services and products such as glasses and contact lenses |