Help & Support

Health Insurance Claims Submission Requirements

At Parnell Assurance PNG, we aim to make the claims submission process as straightforward and efficient as possible. To ensure your claim is processed promptly, please follow these requirements:

1. Completed Claim Form
   Fill out the Health Insurance Claim Form completely and accurately. The form should include your personal information, policy number, and details of the medical services received.
2. Original Medical Bills and Receipts
   Submit the original itemized medical bills and receipts from the healthcare provider. These documents should detail the services rendered, including dates of service, charges, and the provider’s information.
3. Medical Reports and Prescriptions
   Include any relevant medical reports, prescriptions, and diagnostic test results that support the treatment or services received. These documents help verify the necessity and appropriateness of the treatment.
4. Proof of Payment
   Provide proof of payment, such as bank statements, credit card receipts, or canceled checks, to show that you have paid for the services rendered.
5. Referral or Authorization Letters
   If applicable, attach any referral or authorization letters from your primary care physician or insurance company. These documents are necessary for services that require pre-approval.
6. Identification Documents
   Include a copy of your identification documents, such as your driver’s license or national ID card, to verify your identity.
7. Submission Deadline
   Submit your claim within the stipulated timeframe mentioned in your policy documents. Late submissions may result in delays or denial of your claim.
8. Contact Information
   Ensure your current contact information is provided on the claim form so we can reach you if additional information is needed.

Health Claims Submission Checklist

Use this checklist to ensure you have all the necessary documents and information for a smooth and efficient health claims submission with Parnell Assurance PNG.

1. Completed Claim Form
   • Ensure all sections are filled out accurately.
   • Include your personal information and policy number.
   • Provide detailed information about the medical services received.
2. Original Medical Bills and Receipts
   • Itemized bills detailing the services rendered.
   • Receipts showing the charges and provider’s information.
   • Dates of service and a breakdown of costs.
3. Medical Reports and Prescriptions
   • Relevant medical reports supporting the treatment.
   • Copies of prescriptions and diagnostic test results.
4. Proof of Payment
   • Bank statements, credit card receipts, or canceled checks.
   • Any other documentation proving payment for services rendered.
5. Referral or Authorization Letters (if applicable)
   • Letters from your primary care physician or insurance company.
   • Required for services needing pre-approval.
6. Identification Documents
   • Copy of your driver’s license or national ID card.
   • Ensures verification of your identity.
7. Submission Deadline
   • Check your policy documents for the specific timeframe.
   • Ensure timely submission to avoid delays or denial.
8. Current Contact Information
   • Ensure your contact details are up to date on the claim form.
   • Allows us to reach you if additional information is needed.

Health Claims Process for Parnell Assurance PNG

At Parnell Assurance PNG, we aim to provide a straightforward and efficient health claims process, whether you are covered under a group policy through your company or have an individual policy. Follow these steps to submit your claim and ensure it is processed smoothly.

Step 1: Gather Required Documents

Before submitting your claim, ensure you have all necessary documents:

• Completed Claim Form
• Original medical bills and receipts
• Medical reports and prescriptions
• Proof of payment (e.g., bank statements, receipts)
• Referral or authorization letters (if applicable)
• Identification documents

Step 2: Fill Out the Claim Form

Accurately complete the Health Insurance Claim Form. Include:

• Your personal information and policy number
• Detailed information about the medical services received
• Current contact information

Step 3: Submit Your Claim

Choose the appropriate submission method based on your policy type:

• Group Policies: Submit your completed claim form and supporting documents through your company’s Human Resources (HR) department. HR will review and forward the documents to Parnell Assurance PNG on your behalf.
• Individual Policies: Submit your completed claim form and supporting documents directly to Parnell Assurance PNG using one of the following methods:
  • By Mail: Send to our Claims Processing Center at Unit 4A, Level 4, Time Square Building, Wardstrip, Gordons
  • By Email: Scan and email to claims@papngl.com.
  • Online Portal: Log in to your account on our website and upload the documents through our secure claims submission portal.

Step 4: Claim Acknowledgment

Once we receive your claim, we will send an acknowledgment notice confirming receipt and providing an estimated timeframe for processing.

Step 5: Claims Analysis

Our claims team will review your submission by:

• Verifying the completeness and accuracy of the documents
• Assessing the validity of the claim based on your policy coverage
• Contacting you or your HR department if additional information or documentation is needed

Step 6: Query Resolution

If there are any queries or discrepancies, our team will reach out to you or your HR department to resolve them. Promptly addressing queries will help expedite the claims process.

Step 7: Claims Decision

After a thorough review and resolution of any queries, we will make a decision on your claim:

• You will receive a notification of the claim approval or denial.
• An Explanation of Benefits (EOB) will detail the coverage and payment amounts if the claim is approved.

Step 8: Payment Processing

If your claim is approved, we will process the payment via direct deposit into your bank account. You will receive a confirmation once the payment has been made.