Health Claim Investigation

What We Do
ICS Assure Services Pvt Ltd provides health investigation services led by experienced team of doctors, field coordinators and administration staff. The main objective is to ascertain the authenticity and genuineness of referred suspicious health claim based on evidences collected. We believe in giving the best services by following strict adherence to process laid down which includes end to end monitoring of cases, empowered expert claim assessors preparing reports, evidence based conclusion, independent quality control and adherence to TAT.

Investigation of cases is carried out by conducting field visits based on the plan of action prepared by our doctors and field visits conducted by our experienced field officers/ coordinators. Turn around time for each case is adhered.

Areas we cover in our field verification:-

  • Hospital
  • Insured
  • Pathology/Diagnostic center
  • Pharmacy
  • Employer
  • Vicinity
  • Treating doctor/family doctor
  • Reimbursement Cases
  • Fraud Investigation
  • Pre Existing Disease(PED)
  • Cashless
  • Fraud/Authenticity Check
Case Study
CaseFile Details
Case1 Case Study 1_Health Claim Investigation.pdf

Get In Touch

22/23, Goodwill, Swastik Estate, 178, CST Road, Kalina, Santacruz (E), Mumbai, 400098 Maharashtra, India

Office Timing:- 9:00 am to 5:15 pm IST


+91 022-42200989

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