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INTERMEDIATE COURSE IN MEDEICAL & HEALTH INSURANCE - NON MEDICAL ASPECTS OF CLAIMS

 

Key learning Outcomes

At the end of the course, participants will be able to :

•explain the key terminology/definition and calculate the various elements of the Hospital & Surgical Insurance benefit structure.
•match the various expense items to their respective benefit category and to calculate the amount of admissible and non-admissible claims.
•explain the situation where an upgrading of room becomes medically necessary.
•explain the meaning of specialist, customary and reasonable charges.
•explain M&H claims procedures and assessment.
•state the various warning signs relating to possible fraud.
•identify and state the responsibilities of the various parties involved in using, delivering and financing healthcare.
 
 

 

Contact Info

The Malaysian Insurance Institute,

No. 5, Jalan Sri Semantan 1,

50490 Kuala Lumpur,

Malaysia

 

Tel : +603 2087 8883

Email : customercare@mii.org.my

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