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OPD Quick Claim Submission via Emma by AXA Application
Emma by AXA introduces the new "OPD Quick Claim" service, designed to make the process of Outpatient (OPD) claim a simpler and more convenient experience for you. With this service, your claim experience will be easier than ever before. It caters to your online lifestyle, allowing you to manage your claims effortlessly with just a few taps of your fingertips.
OPD Quick Claim Submission via Emma by AXA
Emma by AXA introduces the new "OPD Quick Claim" service, designed to make the process of Outpatient (OPD) claim a simpler and more convenient experience for you.
Documents required and Procedures for OPD Quick Claim Submission
For individual policy customers who have outpatient department (OPD) benefit, if you have made an advance payment for medical treatment expenses that is not exceed 5,000 Baht, you can easily submit an OPD Quick Claim on your own.
1.Prepare 4 documents as follows.
1) First page of the bank book (the insured)
2) Receipt
3) Expense Details
4) Attending physician statement
2.Submit via Emma by AXA with 4 steps as follows
1) Select the policy required for claim.
2) Click “Submit Claim”.
3) Specify the detail and upload documents.
4) Press “Submit Request”.
Moreover, you can easily check real-time update of your health claim status and the claim amount will be promptly transferred to your given bank account within 5-7 working days after claim settlement.
Remark
- This service is eligible for Outpatient department (OPD) treatment for individual customer does not apply for Group Insurance Policy or Personal Accident Policy. If the conditions are not met, please submit the documents to the Company for further process.
- Before submitting your documents, please ensure that you have specify the statement "use for health claim reimbursement at Krungthai-AXA Life Insurance PCL only" on the original receipt this is to shorten the assessment process.
- Please ensure that you keep the documents for at least 90 (ninety) days due to the possible consequent request of the original documents for consideration support.
Frequently Asked Questions
1.What is OPD Quick Claim service via Emma by AXA ?
A new service for Krungthai-AXA Life Insurance PCL, customers who have made advance the payment of Outpatient Department (OPD) treatment expenses can easily submit OPD Quick Claim via Emma by AXA * Hospital Benefit, IPD treatment expenses, Personal Accident Policy, critical illnesses, and death claim, and Group Insurance Policy, have not yet been supported.
2.Who can use OPD Quick Claim service via Emma by AXA ?
The customer who has effective individual health policy of Krungthai-AXA Life Insurance PCL with OPD benefit coverage.
3.Can the Group Insurance Policy and Personal Accident Policy use OPD Quick Claim?
The group insurance and Accident insurance customer cannot use OPD Quick Claim service via Emma by AXA. Please submit the completed documents to the Company. For additional detail, click https://www.krungthai-axa.co.th/th/customer-service/claims-procedure/output-patient-department.
4.Maximum of claim amount for OPD Quick claim service via Emma by AXA
1.Medical Treatment Expenses is not exceeding 5,000 Baht.
2.Medical Treatment Expenses exceeds 5,000 Baht, Please submit the completed documents to the Company.
5.How many days are used in assessment process?
The final assessment claim result depends on the policy conditions. You will receive health claim status notification within 3-5 working days.
6.Is it required for the customer who has the Hospital Cash benefit that submits OPD reimbursement under Day case (18 medical procedures), to submit document for Hospital cash benefit reimbursement?
If the Company determines that the coverage for Outpatient Department (OPD) treatment falls within the Day case conditions, the hospital cash benefit shall apply regarding to policy coverage the original documents are not required on this process.