How to make a cash claims reimbursement
When submitting a cash claims reimbursement, please follow these steps and procedure:
1. Claims with the following completed documents and requirements will quicken its process:
- Filed Reimbursement application form.
- Copy of MalathCare card and ID card.
- Original doctor prescription: dated, signed & stamped
- Original detailed invoice signed and stamped by the provider.
- Original Results for diagnostic tests and/or Medical reports for In-clinic Procedures.
- Inpatient Claim: Itemized hospital invoice, medical report and Discharge Summary should exist as a supportive document- for the claim incurred.
2. A cash claim should not be a combination of several visits to Doctors, medicine requested or tests done on different dates.
3. Preferred KSA prices will be applied in case of out of network claims.
4. A deduction of 20% will be applied for out of network claims except in emergency cases.
5. All claims that will be incurred outside KSA should have a prior approval letter from Malath Care except for emergency cases - please attach the approval copy.
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