Reserving - This refers to the amount of provision made for all claims in the books of the insurer based on the status of the claim
Bail bond cases and financial emergency cases are paid upfront by Assistance Company and later claimed from insurance company
Current Procedure Terminology (CPT) codes capture the procedures performed to treat the illness.
Rashtriya Swasthya Bima Yojana - Total sum insured of Rs. 30,000 per BPL family on a family floater basis. Pre-existing diseases to be covered. Beneficiary to pay Rs. 30/- per annum as registration fee/ renewal fee.
Employees State Insurance Scheme benefits - Free comprehensive healthcare at ESIS facilities , Maternity benefit, Disability benefit, Cash compensation for loss of wages due to sickness and survivorship, Funeral expenses in case of death of worker