Insuree Enquiry (User Manual)

This functionality is available to all system roles or with a role including an access to Insurees and Families/Insuree/Enquiry. The function Insuree Enquiry can be accessed at any time, after login. On the top right hand of the main menu, there is a search feature, allowing the user to enter an Insurance Number for a “quick enquiry”.

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Img. 121 Insuree Enquiry Field

By typing in a valid insurance­­­­­­­ number and pressing the enter key or clicking on the green search button, a pop-up will appear (Img. 121), providing a photo of the insuree and information about the current policy or policies covering of the insuree.

The Information includes the following:

• The photo of the insuree

• The name, date of birth and gender of the insuree

• The (insurance) product code, product name and expiry date of a policy

• The status (I for Idle, A for Active, S for Suspended and E for Expired) of the policy at the time of inquiring

• The deductible amount remaining for the insuree to pay before the policy is claimable, for hospitals and non-hospitals

• The ceiling amount claimable by a health facility on behalf of the insuree for both hospitals and non-hospitals.

• Age of the insuree

• First Service Point (FSP) of the insuree

  • Region of FSP

  • District of FSP

  • Level of FSP

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Img. 122 Image - Insuree Enquiry Results