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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.

Online Claim Service via Emma by AXA Application

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.OPD Online Claim Service

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.

HB Online Claim Service

For individual policy customers who have Hospital Cash Benefit (HB) rider that provides a fixed daily cash payment for each day a person is hospitalized.

1. Documents required and Procedures for HB Online Claim Submission

1.Prepare 2 documents as follows.

1) First page of the bank book (the insured)

2) Medical Certificate or IPD Claim Form

2.Submit via Emma by AXA with 5 steps as follows

1) Select the policy required for claim

2) Click icon “Submit Claim”

3) Select “HB Claim Service”

4) Specify the details and upload documents.

5) Press “Submit Request”.

 

Moreover, you can easily check the claim status and claim history at any time.

The claim amount will be promptly transferred to your given bank account within 5-7 business days after claim settlement.

Remark

Please check the details of all documents to be clear and cover complete treatment details. However, if there is unclear information or must consider medically necessary. Health Claims Department will request additional documents. for consideration.

Frequently Asked Questions
1.What is Online 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 Online 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 Online Claim Service?

The group insurance and Accident insurance customer cannot use Online 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 Online 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.