Circular regarding timely settlement of medical re-imbursement claim bills of insured person (dated – 25.04.2022)-ESIC.
View PdfCircular regarding timely settlement of medical re-imbursement claim bills of insured person (dated – 25.04.2022)-ESIC.
- It has come to the notice of ESIC, Hqrs. Office that settlement of IPs medical re imbursement claim bills is being delayed due to various reasons.
- The Competent Authority has viewed this matter very seriously and has directed that medical re-imbursement claim IPs should be settled within 30 days from receipt of the bill.
- Further, in order to expedite the process, financial power has been delegated to SRO l/C of sub-regional offices, up to an amount of Rs. 50,000/-, so that bill can be scrutinized by medical referee and sanctioned by SRO I/C and paid at SRO level itself with timely electronic transfer of the reimbursement amount in the IP’s bank account. While sanctioning the bill, RD/SRO (I/c) may need not to sign every page of the bill and may sign on the statement containing a list of bills with amount involved only. Henceforth, the monitoring of settlement of medical reimbursement claim will be done by Regional Director/SRO (I/C) on fortnightly basis and submit the report to medical services at email id med2-hq@esic. nic.in.
- This will not only help in reducing the grievances of the patients but also help in improving the image of ESIC, refer attachment for further details.
