1 reviews | Active since Jul 2016
uninformed members
it is very difficult to get through to a reliable and help full consultant at bankmed.
i however would like to know if a claim is submitted for services rendered with a qualifying icd 10 code for a pmb condition would it be funded from the patient medical savings account or the insured benefit i would like to know how is the bankmed comprehensive policy regarding to this matter will such claims accumulate to the savings account first or not.
or will such claims not affect that benefit.
urgent
Hi Farhaan, we truly apologise for the experience you have had in your recent interaction with us.
We can confirm that on the Comprehensive plan, Out-of-hospital Prescribed Minimum Benefits are funded from Risk benefits, where no authorisation is required. Providers must ensure that they include the correct Prescribed Minimum Benefit ICD-10 codes when submitting their claims for payment. Prescribed Minimum Benefit claims will first fund from day-to-day insured benefits and will pay through the limits once the day-to-day insured limits are reached. We trust that this provides clarity to your query.
Please feel free to let us know should you require further assistance.
Hi Farhaan, we truly apologise for the experience you have had in your recent interaction with us.
We can confirm that on the Comprehensive plan, Out-of-hospital Prescribed Minimum Benefits are funded from Risk benefits, where no authorisation is required. Providers must ensure that they include the correct Prescribed Minimum Benefit ICD-10 codes when submitting their claims for payment. Prescribed Minimum Benefit claims will first fund from day-to-day insured benefits and will pay through the limits once the day-to-day insured limits are reached. We trust that this provides clarity to your query.
Please feel free to let us know should you require further assistance.