Submit claims accurately, securely and in line with LifeCome HMO provider rules.
Claims must be complete, accurate, supported by documentation and submitted within the required timeline. Incomplete claims may be returned for clarification or rejected according to provider agreement rules.
Member verification, authorisation reference where applicable, clinical notes, service invoice, diagnostics reports, prescriptions, discharge summary, procedure notes and other documents required by the tariff or service type.
Verify eligibility before service, obtain authorisation where required, use correct codes or service descriptions, follow tariff rules and submit all documents together.
LifeCome HMO may audit claims, request clarification, investigate unusual billing patterns and apply provider agreement remedies where misuse is identified.
Participating providers can track claim status through the Provider Portal or contact the claims team.