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BC-2.9.2

Where an insurance firm deals with medical insurance and handles all the claim processing activities directly, i.e. without using a TPA:

(a) It must process and settle all medical claims with policyholders within 15 calendar days from the receipt of all necessary documents; and
(b) It must process and settle claims from healthcare service providers within 30 calendar days from the receipt of all necessary documents from the healthcare service providers.
April 2016