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Claims submission should be within 30 days of the service being provided.
A Consolidated Summary of Accounts, showing gross and net amounts
per insurance company, should accompany every batch. (see attachment)
Claims should be submitted and arranged as they are located on the Statement
of Account with Serial Number on it
Submissions should be organized by insurance company
Submission should be in English
Appropriate ICD 9 Diagnosis Code provided
UCAF forms should be properly filled out including the following information
:
-
Name and signature of the treating doctor
-
Patient/member’s signature
-
Date of visit (Gregorian calendar)
-
All invoices should be attached to the relevant claim,
per member and per event
-
Any necessary lab or medical results
-
Copies of the MedNet I.D.
and
personal I.D./Iqama
-
Business language is English
-
Copy of any outpatient approval from MedNet
Inpatient submissions must include the following information
:
-
Date of visit and discharge (Gregorian calendar).
-
Copies of the MedNet I.D.
and
personal I.D./Iqama.
-
All invoices should be attached to the relevant claim,
per member and per event.
-
Copy of Approved Visa Form.
-
Itemized list of diagnostic procedures.
-
Medical/surgical supplies, and medicines including quantities
-
Medical Report, complete with initial patient complaints/condition
upon arrival, treatment plan and responses, discharge needs and
any necessary follow up including discharge diagnosis.
-
Business language is English.
Claims should be resubmitted within 15 days after the provider has received
the rejected claims
Claims should be submitted and arranged as they are located on the Statement
of Account,including net and gross amounts.
Copy of the relevant Bordereau (MedNet Statement of Account) should be
included with the resubmission
Enclosure of rejection information, including any additional data requested by
MedNet to accurately process claim. Note: This includes a copy of
the utilized SOAP or VISA Forms
It is requested that resubmitted batches should be submitted through
our Branches or by Hand or via courier.
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