[MOHIT SINGH NEGI]

Hello Shraddha

Though Padmini’s suggestion seems helpful and exhaustive, yet I would just add on to few more.

1. Review of communication as suggested ought to be reviewed in the light of limits of the expenses to be covered and the procedure for submitting the claims.

2. Documentation Review- It requires the review of the requisite documents to be submitted towards the claim including invoices, receipts and medical reports. It is to clarify the nature of expense and the medical necessity.

3. Policy Review- Ensure that your company’s medical expense policies are compliant with all relevant laws and regulations.

4. Preventive measures- It includes the further clear communication of policy claims, setting the the claim limits which may also include pre-approval/ pre-authorization before medical expenditure especially high cost treatments, outlining the consequences of misuse of medical benefits like disciplinary action.

Hope it helps

Regards