Telephone Claims Method
You are displaying symptoms, which are out of the ordinary for you.
You make an appointment to see your GP.
Your GP advises that you need to see a consultant/specialist.
Telephone General and Medical to speak with your Client Relations Co-ordinator. Please make sure that you have the following information to hand to answer the following questions:
- What symptoms are you experiencing/What condition do you wish to claim for?
- How long have you been experiencing symptoms?
- Has your GP referred you to a consultant/specialist?
- Do you know the name of the consultant/specialist you have been referred to? If in doubt, you should be able to find this information on the referral letter from your GP. Or you can telephone your GP’s surgery and they will be able to advise you.
- Do you know your consultants General Medical Council Number? (GMC No:)
Your Client Relations Co-ordinator will also ask to post to us a copy of your GP referral letter.
The information you give to the above questions will help determine whether you can proceed with your initial consultation and diagnostic procedure, under the terms of your cover.
Your Client Relations Co-ordinator will be able to tell you over the phone if you can proceed. A letter will also be sent to you as confirmation.
If you are given authorisation to proceed you will be given an authorisation number. This number relates to your initial consultation and diagnostic treatments only.
After you have seen your consultant in respect of your initial consultation and diagnostic procedures and a course of treatment is recommended by your consultant, you will need to contact us again for the second stage of your claim to be authorised.
Please Note: Within the time frame of your initial consultation and diagnostic procedure taking place and any further treatment you may require, General and Medical will require a copy of your referral letter, without this we are unable to take your claim any further.
To enable us to authorise any further treatment, you will need to telephone your Client Relations Co-ordinator and answer the following questions:
- Will your treatment relate to an out-patient/in-patient/or day-case procedure?
- In which facility will your treatment take place? Please ensure that any hospital chosen is within the level of cover you have purchased or there may be a shortfall to you.
- What is the procedure code for the treatment required? Your consultant/specialist will be able to give you this.
Your Client Relations Co-ordinator will be able to tell you over the phone if you can proceed. This will also be sent to you in writing.
If you require any further treatment after your procedure you will need to telephone your Client Relations Co-ordinator and they will be able to tell you if this is covered under the terms and conditions of your policy with us.