What is 'reimbursement by insurer' in SAP IS-H - SAP for Healthcare?

reimbursement by insurer - Overview

• Component: IS-H

• Component Name: SAP for Healthcare

• Description: SAP Healthcare - Industry-Specific Components for Hospitals Payment procedure whereby all invoices are addressed to and paid by the patient. The patient then requests the insurer to reimburse the amount covered. As opposed to "direct payment by insurer".

reimbursement by insurer - Details

• 
  Key Concepts: 
  Reimbursement by insurer is a process in the IS-H SAP for Healthcare system that allows healthcare providers to receive payment from an insurance company for services rendered. This process involves submitting a claim to the insurance company, which is then reviewed and approved or denied. If approved, the insurance company will reimburse the healthcare provider for the services rendered. 
  
  How to use it: 
  In order to use the reimbursement by insurer process in IS-H SAP for Healthcare, healthcare providers must first submit a claim to the insurance company. This claim should include all relevant information about the services rendered, such as patient information, diagnosis codes, and procedure codes. Once the claim is submitted, it will be reviewed and either approved or denied. If approved, the insurance company will reimburse the healthcare provider for the services rendered. 
  
  Tips & Tricks: 
  When submitting a claim for reimbursement by insurer in IS-H SAP for Healthcare, it is important to make sure that all relevant information is included in the claim. This includes patient information, diagnosis codes, and procedure codes. Additionally, it is important to make sure that all of this information is accurate and up-to-date in order to ensure that the claim is approved and processed quickly. 
  
  Related Information: 
  For more information on reimbursement by insurer in IS-H SAP for Healthcare, please refer to the official