Medical Insurance Claims
Reimbursement claims and refused approvals — we follow them and escalate when needed.
A refused medical approval does not always mean the treatment is not covered. Many refusals come down to a wrong administrative classification or a brief medical report that does not explain the need. We read the written reason for refusal and fix what can be fixed.
What the service includes
- Refused medical approvals followed up
- Reimbursement claims for expenses paid in cash
- Your policy and its cover limits reviewed
- Coordination with the hospital to complete the reports
- Escalation to the Council of Health Insurance when needed
- Every item of correspondence and every decision documented
How it works
Reviewing the cover
Your policy limits and exclusions precisely.
Reading the reason for refusal
Usually an administrative classification or an incomplete report rather than a genuine exclusion.
Completing and resubmitting
With a medical report that explains the need clearly.
Escalation
To the Council of Health Insurance if necessary.
Documents required
- Insurance card and cover policy
- Medical reports and diagnosis
- Invoices and payment receipts
- The written refusal decision, if any
- National ID or iqama
Questions about this service
Usually yes. Much of the refusal comes from a brief medical report or a wrong administrative classification rather than a real exclusion in the policy. We review the written reason and address it.
If the treatment is covered by your policy, usually yes, through a reimbursement claim. Keep every original invoice and report — without them the claim is hard to prove.
Ready to start with Medical Insurance Claims?
Send us your request and a specialist will contact you within minutes during working hours — no commitment, no consultation fee.