A Study On Shift Towards Digitalization Of Medical Reimbursement By Insurance Companies During COVID Like Pandemic Situation

Abstract

Health insurance is an agreement in which an insurance company guarantees to pay for the insurer's medical expenses in the event of hospitalization. Purchasing a health insurance policy is important as the medical costs required for treatment are very expensive these days. This involves paying a small amount each year to reduce stress in the event of a medical emergency. Claiming health insurance is a very tedious process. As insurance companies require all documents like hospital medical certificate signed by a medical doctor, a certificate of discharge, medical prescriptions etc., at that time for verification. People face problems in collecting all the documents including debts and receipts. In the current COVID like pandemic situations, it is even worse if one needs to visit a hospital to collect documents. Insurance companies require all that documents to be authentic without being programmed. Insurance companies sometimes insist that documents may be duplicates. These situations create a major problem for people. That is why a website is introduced to help people get through this boring process and will reduce paperwork to avoid data mismatch and deception to get the wrong results. The health Insurance Scheme provides coverage to the policyholder for medical expenses in the event of a medical emergency including the cost of surgery, day care costs, and critical illness etc. This is done by an individual. Taking the conventional scenario into account, whenever a person claims insurance, the insurance company wants the original documents from the hospital. In the case of COVID, it is very dangerous for a person to visit a hospital to collect physical documents. As it also involves handling documents by hospital staff and can be the cause of the spread of the virus. On the other hand, through the website, a person can gain access to his or her documents whenever required, even staying at home or through a remote place, without having to return to the hospital repeatedly, in turn protecting themselves from getting COVID contaminated. Even if the hard copy of the receipt is lost, the hospital records would always remain available for the users through the website.