Claims Process

First-time registration should be done through emirates id and date of birth, Incase the member does not have an emirates ID ready, the insurer will give an e-card number which can be used to login. Insured members can start accessing medical care using Emirates ID or eCard, Also can access the updated network list.

• The reimbursement claim form needs to be completed by the treating doctor with his/her seal/stamp. Failure to obtain the same might disqualify the claim unless otherwise considered by the insurer at his discretion.
• Kindly ensure to complete all pertinent information particularly the name of insured, card number, and those relating to diagnosis and medical services rendered.
• Use a separate form for each member.

All the documentation including invoices with paid stamp, official receipts, and medical reports should be in either English or Arabic. Documents in other languages must be translated by an official public translator prior to submission.

The following documents to be uploaded along with the duly filled Reimbursement claim form:

• Copy of insui-ance card/EID.
• Itemized receipts/ invoices with paid stamp. Should be dated.
• Prescription for medication prescribed by the treating doctor.
• Investigation results/reports like laboratory test results, x-ray report, etc.
• For Inpatient Hospitalization cases — medical report/discharge summary stamped and signed by the treating doctor.

The claim reimbursement should be submitted within 30 days from the date of the treatment inside or outside of UAE. Email can be sent to PB incase customer cannot process reimbursement on the TPA APP. All documentations shouid be uploaded in NAS app or NAS website

• Client will receive a mail confirmation along with Unique Claims Reference Number (UCRN) on every successful upload.
• Reimbursement procedure is 15 working days from date of successful upload.
• For complete documents — client will receive a mail notification along with claim summary sheet.
• For incomplete documents — client will receive a notification on the required additional/missing documents within 3 working days. Cut off time for resubmission would be 30 calendar days for claims incurred within UAE and 60 calendar days for claims incurred outside UAE from date of intimation; otherwise as specified in policy.