What is a claim assessment?
A claim assessment checks if a medical condition existed before your policy started. It can be triggered when specific claims or cost plans are submitted.
In German, this process is known as an APV-Prüfung (Anzeigepflicht-verletzungsprüfung).
All claims affected by the assessment will remain unprocessed until it is successfully finalized. We will inform you of your coverage once the review is completed.
What does the process look like?
We'll email you a form to fill out.
The form consists of two parts: a confidentiality release, allowing direct contact with your doctor regarding any concerns, and a standard health questionnaire asking about your medical history. You'll need to complete all questions.
Once filled out, send it to us, and we'll submit it for further review.
Communication with your doctor through postal mail typically begins about a week after you submit the confidentiality release form. It's advisable to let your doctor know that your insurance will be reaching out with inquiries, and that their response is crucial for assessing your insurance benefits.
Depending on your doctor's response, further documentation from you may be requested.
This could be a new confidentiality release form or health questionnaire.
This is a collaborative process and your support in reaching out to your doctor if they haven't responded is crucial for keeping the assessment moving efficiently.
Feather's role throughout the process
The review process, influenced by your and your doctor's response times and the review itself, may span several months. We will keep you regularly updated via email and ensure that the process continues smoothly.
Please understand that progress reports cannot be provided until we receive feedback. However, you will be kept informed throughout the process, from start to finish.
Should you have any concerns about your pending reimbursements, do reach out through our claims support page.