Claims can be submitted via courier or through emails. For some insurers, reimbursement can only be done on original copies. So the preferable mode of submission will be courier.
All claims should be submitted to reimbursement.claims@nas.ae . An auto acknowledgement will be sent to you after the receipt of your claim.
If you don’t receive the settlement from us, then you can follow-up on the status of your claim by calling our 24/7 Helpline at 800-2311 or alternatively can email at reimbursement.claims@nas.ae.
The documents required for Reimbursement Claim are:
01. Duly completed NAS Reimbursement Claim Form (mandatory)
02. Member’s/patient’s details (Name, NAS ID, Date of birth etc)
03. The date of onset of first symptoms
04. Medical Section fully completed (with all information requested therein)
05. Treating doctor’s signature and stamp
06. Attach a copy of the NAS Approval email (if any)
07. Any other information requested on the Claim Form
08. Copy of radiology/imaging reports, blood test results, other reports for special/diagnostic procedures etc. (where you have paid and are claiming for radiology/x-rays, imaging procedures e.g. Ultrasound, CT and/or MRI Scans, blood tests, etc.)
09. Copy of the prescription/s (where you have paid and are claiming for medications)
10. Discharge summary and medical report (in case you are claiming inpatient admissions)
11. All invoices (with proper breakdown of amounts) and receipts (clearly showing that cash/credit card payment has been made by you)
12. Please note that we will be requiring documents in English or Arabic to process the claim. If the claim is in a different language, we will require the translation of the claim to be submitted as well.
Medical Reimbursement Claim Form can be used for all kinds of treatments except Dental. For dental claims, please submit Dental Reimbursement Claim Form. All of the Claim Forms can be downloaded from our download section.
We pay through wire transfer or via cheque, based on the information you have provided on the Reimbursement Claim Form.
No, we do not provide any cash payments.
In case your claim gets rejected due to incomplete submission or ineligibility, you will be notified by the Reimbursement team through email and a statement of account will be sent to you with explanation of benefit stating the reason of rejection. Please provide valid email address on the claim form where the team can reach you.
Our statement of account is designed to be informative and is easy to read and understand. The format is similar to an invoice, allowing you to see any unpaid transactions or paid ones for the current claim.
An explanation of benefits (commonly referred to as an EOB) is an explanation on the rejections reason or any deduction that is mentioned in the statement of account.
All claims for Reimbursement should by either in English or Arabic, For all other languages we request you to submit an official translation for assessment and processing.
Claims are submitted via DHPO through their website www.eclaimlink.ae
Dubai Health Post Office is the transfer hub for e-claim transactions. The system exchanges e-claims and authorizations between Providers and Payers.
Claims are processed and paid within 90 days calendar period.
These are claims that are denied because of insufficient data; billed but not medically related. Provider has 30 days to submit their resubmission after they received the rejected report via email or after we post their claim through Remittance advice.
Coinsurance is a percentage of the service charge that your health plan calculates for you, after you’ve met your deductible. While the deductible is a fixed amount the member pays in each visit or per claim based on the member’s policy.
NAS clients are updated on a monthly basis with the list of providers included in their networks. Check with your point of contact with regards to your policy (HR/insurance company/broker as applicable) for the list of providers where you are eligible.
Please refer to the NAS list, which is the tabulation of eligible categories to said provider, indicating YES for eligible and NO for non-eligible.
Please visit the “Our Network” section on the NAS Website to get further details of your preferred facility.
We strongly recommend that all complaints are reported to NAS 24/7 Helpline at the point of incident. Our Helpline agents will resolve minor issues within the scope where possible and guide you on the procedure in forwarding a written complaint.
To become a part of NAS Network, you have to forward your letter of interest on NAS empanelment to Provider Network Team at providernetwork@nas.ae and one of our team members will contact and guide you on the required documents and procedures for the empanelment process. Please note that empanelment is at the sole discretion of NAS wherein the feedback evaluation of your application will be communicated in writing – subsequent to the evaluation process.
You can directly approach the Provider Network Team with your interest at providernetwork@nas.ae to discuss a possible partnership.
In order to get update on your facility network placement, you have to contact the Provider Network Team with your request of updated network placement at providernetwork@nas.ae and one of our team members will email you the placement of your facility for your guidance on cards eligible for direct billing at your facility.
Yes, this can be facilitated.
Actual rate of exchange at the time of medical expense incurred is taken for reimbursement of medical claim expenses.
Please contact our 24/7 helpline on our toll free numbers for further information.
Please contact our 24/7 helpline on our toll free numbers for further information.
Please contact our 24/7 helpline on our toll free numbers for further information.
Deductible(Ded) is the fixed amount which is required to be paid by the member on every outpatient visit. Co-payment(co-pay) is percentage of total billed amount which is required to be paid by the member for each in-patient (IP)/out-patient(OP) visit or admission.
For individual members – please contact your broker or insurer for the complete list. For group member – please contact your respective HR department.
Please contact your respective HR department or broker.
The validity of medical pre-authorizations (approvals) is 14 days. After 14 days, provider is required to contact NAS for re-approval.
Provider is required to contact NAS for the cancellation of approval before NAS issues a new approval for a preferred provider.
The usual turn-around time for elective cases is 24 to 48 hours whereas in case of emergency, provider can simply call NAS to take the verbal approval.
Simply proceed to your nearest in-network facility and present your insurance card. Provider will contact NAS on your behalf and will complete all the required documentation.
Yes. You are required to present your any government issued photographic identity (Emirates ID/passport/driving license) as per local health rules and regulations.