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Health Dubai: AED 20,000 fine for delayed ins. Approval

Monday, 06 10 2019, Category: Health, Country: U.A.E
Patients are forced to wait for a period of up to a week at times to obtain the approval of the health insurance companies to conduct the required medical examinations, which delay the diagnosis of the disease, and endanger the lives of some of them, while the Health Authority in Dubai confirmed that the health insurance system to respond to requests for insurance Within seconds, and that the law imposed a 20 thousand dirhams fine in the event that the company delayed in the approval of insurance applications without an excuse or a clear reason. A survey conducted by Emirates Today showed that 66% of the participants were exacerbated by waiting.

Dr. Saleh Abdul-Ghaffar Al Hashemi, Executive Director of Dubai Health Insurance Corporation, said: "The current insurance system is designed to ensure that approvals for health insurance applications are completed within a few seconds of the application. For the company's need for more information.

Al Hashemi told Emirates Al Youm that the law set a fine of 20,000 dirhams if the insurance company or the claims management company refused or delayed the issuance of its consent to provide a health service to the beneficiary without any excuse accepted by the Authority.

He said that the unjustified delay by insurance companies in responding to insurance claims is a flagrant violation of the law. The company is subject to a fine of 1,000 dirhams for each day of delay. The violation may amount to 50,000 dirhams to breach the license terms, Essentially.

He explained that the system currently used is called "e claim link", in which all hospitals offer claims to insurance companies, ensure the speed of response in case the information is clear and sufficient, if the hospital entered early.


Source: Teller Report
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