| Claim denied as Member coverage terminated or Policy Termed – PR 27 |
| 1 | May I know whether the Patient effective and termination date |
| 2 | If eligible- | If not eligible- | |
| 3 | As per the policy effective and termination date this dos is eligible could you please check that and Send the claim back for reprocess. | May I know whether member has been renewed his policy. If yes get the effective from |
| 4 | May I know whether member has any other insurance/policy with u |
| 5 | If yes | If No |
| 6 | May I know the insurance Name, Policy id# and Contact# |
| 7 | May I know the claim# |
| 8 | May I know the call ref# |
