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How do I submit an E-claim?

If you visit a non-panel clinic or a wellness partner and paid for your visit out of pocket, your company may require you to submit an E-claim to process your reimbursement.

When your E-claim is approved, the claim amount is deducted from your Mednefits E-wallet, and your company (or, in some cases, Mednefits) will then reimburse you.

You can submit E-claims through either the Mednefits mobile app or the members’ portal.

Through the Mednefits Mobile App

  1. Log into the Mednefits mobile app.
  2. Tap the menu icon in the top left hand corner and select E-Claim.
  3. Select whether you are claiming from your Medical or your Wellness spending account (wallet).
  4. Fill in the details of your E-claim:
    • Claim Type: Choose from the following
      • General Practice
      • Health Screening
      • Traditional Chinese Medicine
      • Medical Specialist
      • Other
      • Accident & Emergency
    • Provider: Enter the name of the clinic, hospital or health provider you visited
    • Visit Date: The date of your visit, as stated on your receipt
    • Visit Time: The time of your visit (an approximate time is okay)
    • Currency: Select SGD (Singapore Dollar) or MYR (Malaysian Ringgit).
    • Receipt Amount: The amount on your receipt.
    • Member: Tap on the “Member” field to bring up a list of all the members associated with your account, including your dependents (if any). Select the member the claim is for.
  5. Tap Next, and tap on “Snap and upload your receipt”. If the app requests permission to access your phone camera, tap OK (iOS) or Allow (Android).
  6. Press the camera button to take a photo of your receipt.
    • If you have multiple receipts to upload, select Batch and take photos of all the receipts you need to upload.
    • If you already have a photo of the receipt on your phone, you can tap the photo button to select the photo of your receipt.
    • If you are prompted to allow access to your photos, tap OK (iOS) or Allow (Android).
  7. Tap Finish and confirm the details of your E-claim.
  8. Tap Submit to submit your E-claim.
    • If your company has added your work email to your Mednefits account details, you will receive an email confirming that your claim has been submitted.

 

Through the Mednefits Members Portal

  1. Log into the Mednefits members portal.
  2. Click on Submit E-claim in the top menu bar.
  3. Select whether you are claiming from your Medical or your Wellness spending account (wallet).
  4. Fill in the details of your E-claim:
    • Claim Type: Choose from the following
      • General Practice
      • Health Screening
      • Traditional Chinese Medicine
      • Medical Specialist
      • Other
      • Accident & Emergency
    • Provider: Enter the name of the clinic, hospital or health provider you visited
    • Visit Date: The date of your visit, as stated on your receipt
    • Visit Time: The time of your visit (an approximate time is okay)
    • Receipt Amount: The amount on your receipt.
      • Currency: Select SGD (Singapore Dollar) or MYR (Malaysian Ringgit).
    • Member: Tap on the “Member” field to bring up a list of all the members associated with your account, including your dependents (if any). Select the member the claim is for.
  5. Click Next. Drag and drop your receipt into the upload box.
  6. Once the receipt has finished uploading, click Next. Confirm the details of your E-claim.
  7. Click Submit to submit your E-claim.
    • If your company has added your work email to your Mednefits account details, you will receive an email confirming that your claim has been submitted.

Important Notes

  • If the receipt amount you have entered exceeds the remaining amount in your E-wallet, your claim amount will be revised down to the amount remaining in your E-wallet.
    • Example: Jenny has $20 remaining in her E-wallet. She files a claim with a receipt amount of $30. The claim amount will be $20.
  • If your claim’s visit date falls in your company’s previous term, the claim amount will be deducted from your E-wallet balance in the previous term.
    • Example 1: On 31 December, James has $50 in his E-wallet. That day, he falls ill and visits a non-panel clinic, where he pays $30 out of pocket. On 1 January, his credits are reset to $500. On 2 January, James files a claim for his 31 December visit. His claim is approved. $30 will be deducted from his previous term balance of $50. His current term balance will remain $500.
    • Example 2: On 31 December, John has $20 in his E-wallet. That day, he falls ill and visits a non-panel clinic, where he pays $30 out of pocket. On 1 January, his credits are reset to $500. On 2 January, James files a claim for his 31 December visit. His claim is approved. $20 will be deducted from his previous term balance of $20. His current term balance will remain $500.
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  • 24-Feb-2020
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