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Medical Examination Portal-Underwriter Login

1. Order No Flex Details Default VLAC Standard Para Approval History Proposal Fam No Mode OF Pay is Proposal Form Dt Chq DD CC RTGS No Proposer Name Chg DD CC BC Date Office Code Chq Type Chg Drawn DD Drawer Bank Location Bank Name Branch Name Txn No Card holder Name ORA COE AGeIDeecl 3 By default the system displays the following information in the header block LI Doc Date p Infotech Innovation Insight Integrity Doc No Due Date Currency Currency Total DODO DOO Department 4 Enter the following details in the corresponding fields Q Narration Q Customer Name 5 Enter or select from the LOV the Division Based on the selection the name of the division is displayed in the adjacent field Enter the proposal form number Enter or select from the LOV the Mode of Pay Based on the selection the type of pay mode is displayed in the adjacent field 8 Click Details tab to view the screen as shown below 11052012 E CE RB muxo Paame o m JE 99 ACCOUNTS DENEN 0 Q 4 Mr RAJENDAR INR zg Voucher Line Allocation Codes x 6000 E PREMIUM CONTROL ACCOUNT AJADO00200408 Mr RAJENDAR mmo epo 9 Enter or select from the LOV the Main A c Based on the selection the name of the main account is displayed in the adjacent fie
2. dialog box is displayed as shown below File Download Do you want to open or save this file Mame Proposal Form pdr Type Adobe Acrobat Document 1 47 MB From 192 1568 1 237 While Files fram the Internet can be useful some files can potentially harm your computer IF pou do nat trust the source do not open or save this file What s the risk 6 Click Open The report is displayed in PDF format as shown below EP Infotech STAR F P Personal s Insurance Innovation Insight Integrity The Health Insurance Specialist Proposal Form Mo Star Health And Allied Insurance Company Limited Regd amp Corporate Office 1 New Tank Street Valluvar Kottam High Road Nungambakkam Chennai 600 034 Phone 044 28288800 Telefax 044 28260062 Website www starhealth in qu mm ju T zn in PROPOSAL FORM The company will not be on risk until the proposal has been accepted and full payment of premium has been received Policy Issuing Office Business Urban Rural Please fill up the form in block letters Also submit photograph of each person proposed for insurance for issuance of identity cards 2 Office Please tick the policy opted Mediclassic Family Health Optima Super Surplus Health Gain Criticare Plus Family Health Optima Sum Insured Opted Please Tick 7 Click Save Generate Letter On clicking this button the Underwriter is able to ge
3. sef ojoccuma 300000 00 HYPERTENE mr anpa fF peeo raner V 55 OCCUP2 50000000 ASTHMA tt AG IL Ld 1 tk LL P SERVICE UE ME Nu Q Pre existing Disease Enter pre existing disease if any for the insured person Q Voluntary Co pay Enter the deductible percentage The description is automatically displayed in Voluntary Co pay Description field This percentage of claim amount will not be paid 13 Click Save to save the insured details entered On saving the following buttons gets enabled in the screen Q Portability PED Q Cover LI Disc Loading EP Infotech Innovation Insight Integrity 14 Click Close to exit the Insured Person Dtls screen Calculate Premium After entering the risk details 15 Click Premium Calculation available in the proposal screen On clicking the premium is calculated for the proposal The system displays a success message as shown below Forms 16 Click OK to view the following Premium Details screen Eu Premium Detials INDIAN RUPEES a El z Premium details screen displays the total premium and total amount calculated for the particular quotation policy Click Ok to go back to the main screen p Infotech Innovation Insight Integrity Before converting the proposal to policy ensure that the proposal is created in Advance Receipt model else the system displays
4. y the MER Diagnoss centre receives 4 the request from STAR to A cany out the suggested medical teststo the customer After review the branch would be advised with suggestion to proceed further Medical Examnation Report MER should be submitted to STAR as directed UNDERWRITER LOGIN While a proposer approaches a health insurer to get a health insurance policy then as per contract the proposer should be utmost good faith in disclosing the existing facts of the subject matter But there may be various problems in the human body which are unknown to the proposer When a branch underwriter receives a proposal the operational step that is followed to underwrite a policy is detailed below 1 A proposer approaches to a STAR branch for a health insurance policy 2 Underwriter with the support of Underwriting Guidelines directs the proposer to undergo medical checkups 3 Underwriter suggests for a Medical Diagnosis and the details are communicated through the Medical Diagnostic Portal web portal which is accessible by Diagnostic center The request would be in queue of Diagnostic center log in 4 Proposer visits the Diagnostic center as per appointment fixed and at the same time the Diagnostic Center receives the request from STAR to carry out the suggested medical tests to the customer 5 Diagnostic center conducts the medical test of proposer and uploads the reports in web portal and the Medical Examination Repor
5. 7 Infotech Innovation Insight Integrity TM Takina the risk out of insurance Pre Insurance Medical Examination Portal Operational Manual Branch Underwriter Login p Infotech FAR lren nal amp Caring Insurance Innovation Insight Integrity The Health Insurance Specialist Copyright Information used in this document is subject to change without notice Companies names and the data used in the examples herein are fictitious unless otherwise noted No part of this document can be reproduced or transmitted in any format by any means electronic or mechanical for any purpose without permission of 3i Infotech Ltd Any documentation or information for external use such as advertising press releases or promotional materials requires prior written approval from 3i Infotech Ltd Copyright 2012 3i Infotech Ltd All rights reserved Disclaimer This documentation has been produced to complement the software developed and marketed by 3i Infotech Ltd a registered Indian company with limited liability The document accompanies the software made available through a license This document has been created with good intention and the company does not take responsibility if it is put to for any malicious use The document is original in content and presentation and is protected by international copyright law Hence the company places restriction on any part of the written material
6. 2 RAMII F srosri9s7 SPOUSE SOo0000 0 1461111 64 Hospital Cash In consideration ofthe additional premium paid this insurance provides for cash benefit af Rs 5U07 for and every completed day af hospitalisation subject ta a max af Rs 1500 2 per hospitalisation and Rs3000 per policy period Subject ta other terms and cond of the policy F or this purpose every completed day would mean every completed 24 hours This extension would apply only following an admissible Hospitalisation Claim Insured persons aged lessthan 21 years and more than 60 years are not entitled far this benefit No claim for this extension shall lie with the company wherethe admission is for physiotherapy andfor any epidemic Warranted that in case of dishonour of premium chequets the Company shall nat be liable under the policy and the policy shall be void abinitia irom inception Expenses relating ta the hospitalisation will be in proportion ta the room rent stated in the policy Attached to and forming part of Policy No P 322200 0 1 20 127000085 THE INSURANCE UNDER THIS POLICY IS SUBJECT TO CONDITIONS CLAUSES WARRANTIES EXCLUSIONS ETC ATTACHED IMPORTANT IN THE EVENT OF HOSPITALIZATION OF INSURED PERSON INTIMATION SHOULD BE GIVEN TO THE COMPANY IMMEDIATELY HOWEVER VATHIH 24 HRS FROM THE TIME OF ADMISSION Toll Free Ho 1800 425 2255 Email support bstarhealth in Fax No 1800 425 5522 In witness whereof the undersigned being auth
7. DO Product name Sum Insured Proposed PED System Entry Date Policy Issuing Office Proposer Name with address Insured Name with DOB and Gender Page 27 of 51 p Infotech STAR A Personal amp Caring Insurance Innovation Insight Integrity he Health Insurance Specialist The screen displays the following Package Details Q Diagnostics Package the Medical Test Package will automatically get displayed based on Age Sum Insured and Product LI Test Details the list of medical tests In the Diagnostics Center Details section 2 Enter or select from the application calendar LOV the Date of Appointment 3 Select from the respective drop down list the Diagnostic Center details 0 State the name of the State where the diagnostic center is located LI City the name of the City where the diagnostic center is located Q Diagnostic Lab the preferred diagnostic lab Automatically the system displays the address details and phone number of the lab in Lab Address and Lab Phone Number fields respectively 4 Click Save to save the details The Record is saved successfully as shown below Microsoft Internet Explorer ES A Record Saved Successfully View Upload Documents On clicking this hyperlink the system enables you to view uploaded the documents or upload the proposal form and Insured Photo 1 Click View Upload Documents The screen displays the
8. E Proposal Ho Request Type Lab Submit Proposal No S R 322200 01 2013 000265 RAGHAY Male 10 MAY 1964 9456235515 Hitech Diagnostic Centre T Nagar View The screen displays the following details Q Proposal No Insured Name Gender Date of Birth Phone Number Lab Name DOO ODODO View Click this hyperlink to view the proposals submitted in the Diagnostic Lab 2 Click View The system displays the Upload Reports window to view the reports as shown below EP Infotech STAR san ens iring Insurance Innovation Insight Integrity The Health Insurance Specialist mm Lone AP PU gt PEIL DAS Pe HET LAPP ur L3 A http 192 168 1 237 8082 Upload Documents Microsoft Internet Explorer 162 Transactionswrrio Lab amp ppoinkment Upload Reports Esk263DWE Report Type Document Name View Report Diagnostics Center Details Proposal Form Proposal Form pdf View Report Date of Appointment Insured Photo Photo jpa View Report BLOOD TEST Blood Sugar Report jpa View Report State ECG ECG IPG View Report City eo _General Physician Report jpg M Le Diagnostics Lab Lab Address Lab Phone Humber Lab Remarks Lab Remarks E Done but with errors on page BBSSESSBERRRI Internet Doctor Remarks View Reports Rejected On selecting the Request Type as Rejected the Underwriter is able to view the list of entries r
9. Gopi Last Login 5 11 2012 10 48 08 AM Transactions iew Lab Appointments From Date Proposal Ho Request Type Underwriter s Save Underwriter s Submit to Lab Lab Submit to Doctor Doctor Approved Doctor Rejected All Escalated Policy converted calated View Escalatec onverted To Policy 1 Enter or select the From Date and To Date from the application calendar LOV The available status Request Types is LI Save Submit Lab Submit Rejected View Escalated Approved D OUCOLDLDIL Convert To Policy Save On selecting the Request Type as Save the Underwriter is able to view the list of entries saved by the Underwriter but not assigned to Diagnostic Lab as shown below Welcome Gopi Last Login 5 11 2012 10 48 08 AM iew Lab Appointments From Date Ed Ed Proposal Ho Request Type Proposal No Insured Name Gender Date of Birth Phone Number LabName Edit View Generate Letter T R 322200 01 2012 001869 TEST Male 01 JAN 1970 MIL Edit View Generate Letter R 322200 01 2013 000257 RAJAN Male 10 MAY 1955 9952752372 Hitech Diagnostic Centre T Nagar Edit View Generate Letter p Infotech PPAR Innovation Insight Integrity The Health Insurance Specialist Submit On selecting the Request Type as Submit the Underwriter is able to view the list of Proposals saved by the Underwriter and submitted to Diagnostic Lab 1 Select Request Type as
10. Incomplete Capture Header Details 1 By default the system displays the following proposal information in the header block Policy Type Medi classic Individual Period From To Prem Calc Type 3 Normal Annual Mode of Pay CC Credit Customer Business Type DODO DOD 2 Enter the following information in the corresponding fields LJ Proposal Form No Q Date date of proposal 3 Enter or select from the LOV the Customer Based on the selection the name of the customer is displayed in the adjacent field The system displays the following message in the pop up window as shown below 4 Enter or select from the LOV the insured details in the Proposer field Based on the selection the address details get automatically populated in the Address tab T Insured Details _ lastest SRAESWARI LES GANAPATHI NAGARKONDICHETTPATTI i ox a 5 Enter or select from the LOV the Intermediary code Based on the selection the system displays the Source type as 1 Direct 6 Enter or select from the LOV the issue office code in Fulfiller Code field Based in the selection the description is displayed in the adjacent field The system displays the p Infotech Innovation Insight Integrity information about the Sales Manager directly reporting to Branch and above as shown below Forms 7 Select the Fresh Policy check box to s
11. Premium Calculation Intermediary code OD322200 322200 OD CODE Dep Prem Rept No orem ne doc Period From 11 05 2012 11 07 To 10 05 2013 23 59 Prem Calc Type 3 Normal Annual Convert to Policy Man Rec Yn Mode Of Pay CC Credit Customer Approval Confirmation I G Do you VWantto Proceed Fresh Policy 4 Own Office Renewal JJ Address Rural Social Section Other Details Sr No Section Code Description 1 MED SEC 010 Mediclassic Individual Risk Information Image Upload Totals The confirmation dialog box is displayed as shown above 10 Click OK to proceed On clicking the Approval Status window is displayed showing the Reference No and generated Policy No Approval Status Reference No R 322200 01 L2 3 0045 Policy Mo IP 322200 01 2013 000083 11 Click OK The proposal is converted to policy and the status of the proposal is highlighted and shown below Infotech STAR s iring Insurance Innovation Insight Integrity The Health Insurance Specialist STAR HEALTH AND ALLIED INSURANCE CO LTD DOBRO Oia AMA 00A 4 Created by GOPI Approved by GOP MED PLT 010 Mediclassic Individual R 322200 01 2013 000451 Adv Rept Dtls 11 05 2012 00 00 Direct Business 1 Dt 11 05 2012 Accounting date Policy Type Business Type Proposal Number Proposal Form No Acnt Print Customer 1451111 AJADODO20040t Mr RAJENDAR Propo
12. S uiin dieu i Edu Ee ieIEC esami EM a isa dcc mi E cesse UM nessun E PETS E UM NRI CO d R REUS 25 Chande PassWord Meet E m 25 Tansa ON t 25 Lap PA OI a RE E E DT 25 View ETON PA OO MEGS uui Indo cbiuuE esu Rea D deu c suele votutEMS IUE dx E cRaM OSEE CAS zabemu E Uo DuR UE 33 Policy CONVETSIO jausia E E E 44 p Infotech s Personal amp Caring Insurance Innovation Insight Integrity he Health Insurance Specialist About This Guide This User Guide familiarizes the Branch Underwriter with various features and functionalities of the Medical Examination Report MER web portal integrated with PREMIA application to underwrite a proposal in a systematic and step wise manner OBJECTIVES The main objectives of this document are Q Introduce you to all the features available in the application Q Familiarize you with the various conventions used in the product Q To function as a reference manual and user guide to all the functionalities and features of this application LY Help you perform various setups and transactions by guiding you through the relevant screens methodically DOCUMENT ICON LIBRARY In order to draw your attention to certain important points icons are used as easy indicators Use this Document Library to identify these icons in the user guide ans peee xs A note or additional information useful to you Important information that you need to keep in mi
13. Specialist Capture Advance Receipts Details The Branch Underwriter enters the premium receipts details in PREMIA application to receive premium in advance from the customer To receive premium in advance from the customer 1 Click Finance 3 Transactions J GL Transactions J Premium Receipts menu to view the screen as shown below Login Office 322200 Star Test Office User GOPI Find 9 M Masters Underwriting j f Finance GL Transactions CO Transactions Premium Receipt M Premium Receipts COMBI Non premium Receipts Cheque Payment Cheque Payment TNAM Cash Payment Inter Office Funds Transfer Credit Note Policy Stamp Transferring IOT ZO AO Refund Excess Premium Office Branch Debit Note Petty Cash Transferring IOT ZO AO AJV Expense Booking IOT CO AJV Expense Booking IOT ZO AO Journal Voucher Non Premium Report Payment Voucher Report l D Oo Oo o gt 0 0 O O oo OQ oO O OQ OQ UG d 2 Click Premium Receipts menu to view the screen as shown below STAR HEALTH AND ALLIED INSURANCE CO LTD jS w w a S a eB SS a e e e Hs 11 05 2012 Doc Date 11 05 2012 S Doc No 11 01 Due Date 11 05 2012 Fed Manual Ref No Manual Ref Date Ej Division 322200 Star Test Office Currency INR Control Total 20 000 00 TDS Cr Entries Department 99 ACCOUNTS Narration RAJENDAR Customer Name MEDICLASSIC POLIY PREMIUM Amend Reason Amend No 0 Date Party Code
14. being disclosed or reproduced Though the document has been written with utmost care and concentration there may be a few typographical errors technical or functional inaccuracies and omissions The readers are requested to report these to the content development team at 3i Infotech Ltd However the company may not be held responsible for the damages that have been caused by following what is written in the document 3i Infotech reserves the right to change in part or full the contents of the document without prior intimation to its users The users are also advised to closely relate the document s version to the software in use 3i Infotech welcomes feedback to improvise the written material in of the document However we cannot give more than our appreciation to the effort input by the reader The products other than those developed by 3i Infotech mentioned in the document are mere references They belong to their respective owners and 3i Infotech does not take responsibility to inefficiencies in this software Screen shots provided are representative and may or may not contain all the fields explained in the user manual All data displayed in the screenshots are meant for demonstration purposes and is not intended to refer to any existing person or organization EP Infotech TAR ue ng Insurance Innovation Insight Integrity ne Health Insurance Specialist Table of Contents eir oll CS ra TT RS 4 DOCUMENICOM lo
15. 0 000 00 Net Amount 00 15 Click Approve option under the Actions menu at the top of the screen as shown below Version 1 0 Page 12 of 51 p Infotech Innovation Insight Integrity Actions STAR n D ALLIED INSURANCE CO LTD jw pA ajs a i am E m e mo t RAJENDAR MEDICLASSIC POLIY PREMIUM Default LAC Mr RAJENDAR 20 000 00 20 000 00 TEST OFFICE COLLECTION ACCOUNT 20 000 00 20000 00 Dr 8000 PREMIUM CONTROL ACCOUNT 20 000 00 AAD000200408 Mr RAJENDAR 20 000 00 322200 Star Test Office Lo 00 16 On clicking the Approve option the following approval confirmation window is displayed as shown below Forms 17 Click Approve to approve the premium receipt transaction EP Infotech STAR en iring Insurance Innovation Insight Integrity The Health Insurance Specialist CAPTURE MEDI CLASSIC INDIVIDUAL PROPOSAL DETAILS To create Medi classic individual proposal advance receipt 1 Click Underwriting 2 Advance Receipt Proposal J Miscellaneous J Health Insurance Products menu Masters Underwriting Finance Health Insurance Products Medi Family Package Plan Proposal Medi Gold Individual Proposal Medi Suraksha Individual Medi Guard Individual Micro Insurance Individual Individual Medi Youth Medi Classic Group Proposal Ie ii O O O uU a O 0O uu Medi Classic Individual Proposal Micro Insurance Group Med
16. HENNAI w Diagnostics Lab Hitech Diagnostic Centre T Nagar Lab Address 13 Dr Nair Road Opp More Super MarketT Nagar Lab Phone Humber 42938200 42938205 Lab Remarks Lab Remarks Reports attached Hard copy is being sent thru the client Doctor Remarks User ID UserName Remarks Date Remarks i SH7326 Dr Rupali 5 11 2012 11 44 04 AM Pre existing diseses are mentioned PED ICD ICD ICD PED Desc Chapter ICD Chapter Desc Block ICD Block Desc ICD Code Desc Code Code Code Code 0i 0i i 400 409 400 1 Cholera due to Exclusion for treatment of 01 A00 B99 Certain infectious and 400 409 Intestinal 400 1 Vibrio cholerae 01 diseases related to parasitic diseases infectious diseases biovar eltor Cardiovascular System BRAIN SPINAL 03 DSO D89 Diseases of the blood and D60 D64 Aplastic r 03 blood Forming organs and certain disorders J 060 D64 and other D60 8 CORD DISORDES z i i A involving the immune mechanism anaemias HEART DISEASES D60 8 Other acquired Exclusion For All Neurolc 7 pure red cell aplasias and related Complicatic Version 1 0 Page 46 of 51 p Infotech AR ew s Insurance Innovation e Insight Integrity The Hea nsurance Specialist 5 Likewise if there is no PED selected against an insured person then the PED block is displayed blank as shown below Portability PED PED Health Condition Dtis Of Prv Policies Image Upload RANI 500000 S Insured P
17. Policy V Own Office Renewal Other Branch Renewal Address Rural Social Section Other Details Sr No Section Code Description 1 MED SEC 010 Mediclassic Individual Risk Information Image Upload Totals 2 On clicking the system displays the premium amount received in advance as deposit amount from the proposer sg Advance Receipt Dtls Save Back ed c or Ma Tran Code os Code Doc Mo Doc Dt Kain Acnt Amount Bal Amt ss E moa oa hasan e000 poco poo S Jd Jd Jd it Instrument Inst Ma L1 Jj J 1 J eee Count 1 3 Select the Credit Chk box to specify whether the credit check is done or not When there is a shortage of premium as shown below in the screen then Health ng Insurance The Health Insurance Specialist EP Infotech Innovation Insight Integrity Ta Advance Receipt Dtls There is a shortage of premium Back Credit lal Amt Chk Instrument Inst No 20000 1 ICSH Main Acnt 20000 Doc Dt 11 05 2012 5000 Doc No 1130000212 Sr No Tran Code SMS Code i1 You need to create and approve one more receipt against this customer for the shortage amount under Premium Receipts screen Refer Capture Advance Receipt Details section for more information After creation the receipt is displa
18. RICE 10 05 1954 58 GONE x Disc Loading 27 03 1957 cs SERVICE 20 of Claim Amount Click Ok and close the Insured Dtls screen 3 Select the name of the insured and then click the Portability PED button p Infotech Personal amp Caring Insurance Innovation Insight Integrity The Health Insurance Specialist 4 Click PED tab The PED details entered by the Medical Doctor is displayed for the respective insured person as highlighted and shown below za Medi Classic Individual Proposal Version No Y A wia vi ax Portability PED PED Health Condition Dtis Of Prv Policies Image Upload Insured Person Dtl _ Da TERAN SPINAL CORD DISORDEDs peoos eos NO m earoseases Tamas o o These fields are non editable fields Logon to MER portal to view and check if the PEDs mentioned for the insured person maps with the PEDs displayed in PREMIA application as shown below Proposal Details Proposal Ho R 322200 01 2013 000451 System Entry Date 11MAY 2012 Product Hame Mediclassic Individual Policy Issuing Office Star Test Office Proposer Hame RANJEET VERMA Proposer Address S O SHRI DAUDAYAL VERMA SARAY RAY HEAR PAKKI SARAY ALIGARH Insured Hame RAJEHDAR Insured DOB 10 MAY 1954 Gender Male Sum Insured 300000 Mobile Humber 9897984061 Proposal PED HYPERTENSION Diagnostics Center Details Date of Appointment 12 05 2012 Fa State TAMIL NADU City C
19. Sub A c Division Department Anly Cd 1 8000 PREMIUM CONTROL ACCOUNT AA0000200408 Mr RAJENDAR 322200 99 ACCOUNTS ADV Advance Receipt Total Dr Total Cr Net Amount 13 Enter the FC Amount foreign currency amount value On pressing TAB the LC local currency amount gets automatically defaulted in the respective field 14 Click Save to save the entered transaction details On saving the transaction details a debit line entry gets automatically generated for the credit entry as shown below 11 05 2042 oo Doc Date WTAE Due Date 11 05 2012 3 Fixed JV Doc No 111 01 Manual Ref No Division Department Narration Customer Name Manual Ref Date 322200 Star Test Office 99 ACCOUNTS RAJENDAR Currency INR Control Total MEDICLASSIC POLIY PREMIUM 20 000 00 Date Approval History Amend No 0 Party Code Details Amend Reason Flex EJafaujlt ALAE Standard Para Account Description Currency FC Amount INR Order No IND e le le EJ le Main A c Sub A c Division Department Anly Cd 1 8000 PREMIUM CONTROL ACCOUNT AADN000200408 Mr RAJENDAR 322200 Star Test Office 99 ACCOUNTS ADV Advance Receipt Total Dr 20 000 00 Total Cr 2
20. Submit and then click Search The system displays the search result screen showing the list of entries completed by the Underwriter and pending in Diagnostic Lab Welcome Gopi Last Login 5 11 2012 10 48 08 AM View Lab Appointments From Date Proposal Ho Request Type Submit v _ProposalNo_ __ _InsuredName__ Gender Date of Birth PhoneNumber _LabName_ __ Edit View __ Generate Letter R 322200 01 2012 001965 TEST Male 22 JUN 1985 MIL Test Edit View Generate Letter R 322200 01 2013 000451 RANI Female 27 MAR 1957 9897984061 Hitech Diagnostic Centre T Nagar Edit View Generate Letter R 322200 01 2012 001972 TEST Male 22 JUN 1955 MIL HFH Edit View Generate Letter R 322200 01 2012 001621 GGG Male 18 MAY 1980 9456235515 T Edit View Generate Letter RJ322200 01 2013 000451 RAJENDAR Male 10 MAY 1954 9897984061 Hitech Diagnostic Centre T Nagar Edit View Generate Letter The screen displays the following details LJ Proposal No Insured Name Gender Date of Birth Phone Number Lab Name Edit Click this hyperlink to edit the proposal which are submitted View Click this hyperlink to view the proposal form D DD ULDLDLDLUL Generate Letter Click this hyperlink to generate appointment letter for the submitted proposal 2 Click View hyperlink The system displays the proposal form with Lab remarks and Doctors remarks as shown below p Infotech Innovation Insight Inte
21. Tw Y RERUM P 4 About Medical Examination Report MER Portal 11ccee ecc eeee eee eeee nnn 5 Operation Flow of Pre Insurance Medical Diagnostic 6 Underwi ner Moro Me 6 OGM tO PREMIA c 7 Capture New Customer Detallls cccccessssesseeeeeeceeecnnssseeeeeeeeccnnsseeeeeeeeconssseeeeeeeeoonssseeeees 8 Capture Advance Receipts Details c cccsssssseeeeeeeeeeccesssseeeeeeeeeceesseseeeeeseeooensneeeeeeseeoonennes 10 Capture Medi Classic Individual Proposal Details sss 14 Capture Header Detalls due camcn atus RES vu Rad leLU coca Ua RR CVM ERE 15 Capture Details Section 2 16 Capture Risk Information ccccccsssseeeeeeeeeeeeceeneeseeeeeeeeceensneeeeeeeeeooessseeeeeeseoooennsneeesesseoonenns 17 Calc late ae Cz Lo LU Do NR tines a aAA ii a aaia aa aAa aiii 19 Check for Advance Receipt Payment sccseeeeeescccsssseeeeeeeeeeceessseeeeeeseeoeenseeeesesseoonnnns 21 Convert to PONCY eere 23 Diagnostic Lab Assignment For Examination cccsssssecescsessseeeseceesseeeseeesseeesseeenseeesseeesseees 24 Logon to Medical Examination Report MER Web Portal 24 MISIT
22. al details as shown below a Medi Classic Individual Proposal Version No V 10 3 1 50 STAR HEALTH AND ALLIED INSURANCE CO LTD 4 w s w ajx AR 2 5 AME 0A Proposal Incomplete Adv Rept Dtls Created by GOPI Approved by Accounting date 11 05 2012 00 00 Policy Type MED PLT 010 Mediclassic Individual Business Type Direct Business Reject Proposal Number R 322200 01 2013 000451 Proposal Form No Di 1105 2012 Acnt Print Customer AADO0020040t IMr RAJENDAR Proposer 1461111 IRANJEET VERMA Insured Details Source Type fo Direct Fulfiller Code 50322200 322200 S0 CODE Premium Calculation Intermediary code 00322200 322200 OD CODE Dep Prem Rept No MIENNE Premium Comp Sheet Period From 11 05 2012 11 07 To 10 05 2013 23 58 Prem Calc Type 3 INorma Anmual Convert to Policy Man Rec Yn D Mode Of Pay icc Credit Customer Id Card No 1461111 1 Fresh Policy Iv Own Office Renewal Other Branch Renewal Address Rural Social Section Other Details Sr No Section Code Description ae Individual Al nek moeten Image Upload Totals J I 2 Click Risk Information to view the Insured Person Details On approval of the proposal with PED the MER App Sts in PREMIA application gets updated with A as approved The Underwriter PREMIA login user can convert the proposal to policy in this stag
23. are allowed to select the relevant ID card number Name Enter the name of the insured person Sex Specify the sex of the insured person The description is automatically displayed in Sex Description field Relationship with the Proposer Enter or select from the LOV the relationship of the insured person with the proposer The description is automatically displayed in Relationship Description field Date of Birth Enter the date of birth of the insured person On entering the system automatically populates the details under Age in years and Age in months fields Age in years Enter the age of the insured person in years On entering the age the system displays the age of the insured person in months p Infotech Innovation Insight Integrity If the age of the insured person is above 50 years then the system displays the confirmation message as shown below Forms Click OK to proceed Q Occupation Enter or select from the LOV the occupation of the insured person The description is automatically displayed in Occupation Description field UY Sum Insured Enter the sum insured amount The MER check box is automatically selected if the risk age exceeds 50 as highlighted in the screen below za Medi Classic Individual Pro version No 10 3 02 Favara HE BBE F ud Physicians Details mage Upload Upload Cover 1 N RAIENDAR m _ eL men ose
24. d proposals to the Zonal Corporate Doctor for a reason E http 192 168 1 237 8082 Assign Higher Authority Win Sas Choose Office 900000 Corporate Office k Doctor Remarks Sir Please consider ta accept the proposal Lee R4 Internet 2 Click Save The record is saved successfully Entries rejected by Corporate Doctor cannot be escalated again Convert To Policy Along with the Medical doctor suggestion the proposal and the reports are conveyed to the Underwriter to take a decision If the proposal amp medical report is not fulfilling the underwriting requirement the underwriter rejects the proposal If the proposal is accepted with some limitations and conditions the proposal is converted to policy with expressed conditions Some cases it may be an implied condition with support of proposal and pre medical test ex pre existing disease exclusion and Pre Medical test To view proposals that can be converted to policy 1 Select Request Type as Convert To Policy and then click Search The system displays the search result screen with proposals converted to policies as shown below p Infotech Innovation Insight Integrity iring Insurance Insurance Specialist View Lab Appointments From Date 01 04 2012 E 19 04 2012 Ej Proposal Ho Request Type Converted To Policy R 322200 01 2013 000204 RANI Female 10 MAY 1958 9456235515 Hitech Diagnostic Cen
25. d time of the appointment for Medical Diagnosis in consultation with the proposer and a selected Medical Diagnosis center On confirmation the system allows you to generate an appointment letter which needs to be carried out by the Proposer Logon to Medical Examination Report MER Web Portal To capture pre medical diagnostic details 1 Logon to MER web portal with the login credentials of Underwriter 2 Enter the URL provided to you in the address bar of the Internet Explorer screen and then click Go The Medical portal login screen is displayed as shown below Address E http 192 168 1 237 8082 wfrm login aspx 3j Innovalien insight integrity Username GOPI Password eeee 3 Enter the Username and Password provided to you in the respective fields 4 Click Submit The Welcome page of the medical portal is displayed as shown below Last Login 4 19 2012 4 27 33 PM p Infotech STAR A s Personal amp Caring InSurance Innovation Insight Integrity he Health Insurance Specialist The Welcome page comprises of the following menus and sub menus Q Masters main menu o Maintenance sub menu e Change Password sub menu Q Transactions main menu o Lab Appointment sub menu o View Prior Appointments sub menu MASTERS Change Password The Change Password sub menu enables you to change the login password as shown below Ohl Password New Password Confirm Pa
26. e ta Medi Classic Individual Proposal Version No V 10 3 02 Insured Person Dtl Physicians Details Image Upload a SIID card Relationship Age in Age in Pre existing Voluntary Portability PED No Y N Name Sex with Proposer Date of Bith years months Occupation Sum Insured Disease Co Pay Cum Bonus Cover N Za REL MED 01 10 05 1954 58 OjoccuP2 300000 00 HYPERTEN 20 2 No IRAN REL MED 03 27 03 1957 55 OCCUP2 500 000 00 ASTHMA fr p E Disc Loading Sex Description MALE Portability Relationship Description SELF ld Card No App Sts MER Portability Occupation Description SERVICE mmm gt Voluntary Co Pay Description 20 of Claim Amount iv a 5 zm E p Infotech Innovation Insight Integrity For Rejected entries the MER App Sts in PREMIA shows R rejected If anyone row contains R then without deleting that particular risk the policy cannot be converted The Underwriter PREMIA login user is allowed to delete that particular risk row and proceed further if required The system does not allow the Underwriter to modify any details related to the insured person On modification the system displays an error message Field is protected against update as shown below Insured Person Dti Physicians Details Image Upload Portability PED THIS GEHESHOLT es CD
27. e 0 08 0 10 5 ORS 0 06 0 10 s P R interval 0 12 0 20 8 Q T interval 0 44 s QT QT ae hey a Devon OF CORAM Mni Iria au umg do cub m Ua pun mete arl ds uw han wir jij anum Coolant Analysis Conciien Abncera Ces dm eee ha it sa el poo Coie Be LITIA lab eS Per isie Puts c SR Tr DB Lad ee fecuired Teie PONH msi m i das Leb is ELLET felt Dasrr pi om a CLA Piet Sram type tast Raccewnercia ton SPRAEIS ALTALIWNITY APPEARS LOW FREIRIE Potit APIRARA Wian ROGION METLLIEN AXE MIE PEINTES DRAIN AXO FLCER COCLAWT EJET TOU ADJUST THE ANXTIFRELEIE WATER WIXTURE TO A Toria MIXIURIE Coil LU Lon EI zra EIZH Version 1 0 Page 37 of 51 p Infotech TAR heim F F 7 Pers Insurance Innovation Insight Integrity The Health Insurance Specialist You can also click View Report against the Report Type to view the corresponding report 5 Click Submit The entries are posted and queued in Diagnostic Lab s Log in Lab Submit On selecting the Request Type as Lab Submit the Underwriter is able to view the list of entries submitted by Diagnostic Lab and Pending with Area Doctor 1 Select Request Type as Lab Submit and then click Search The system displays the search result screen that display the list of proposals still pending with the Area Doctor as shown below View Lab Appointments From Date 19 04 2012 19 04 2012
28. ejected by the Doctor It can be escalated to Zonal Corporate Doctor for further approval 3 Infotech YSTAR Welcome Gopi Last Login 5 11 2012 10 48 08 AM ti E From Date E E3 Proposal Ho Request Type Rejected i ___ProposalNo insuredName Gender Date of Birth PhoneNumber 2 LabName View Escalate R 322200 01 2012 001962 TEST Male 22 IUN 1955 NIL Hitech Diagnostic Centre View Escalate R 322200 01 2013 000204 RAVI KUMAR Male 10 MAY 1955 9456235515 Hitech Diagnostic Centre T Nagar View Escalate Entries rejected by Corporate Doctor cannot be escalated again Version 1 0 Page 39 of 51 p Infotech Innovation Insight Integrity Personal amp Caring Insurance The Health Insurance Specialist View Escalated On selecting the Request Type as View Escalated the Underwriter is able to view all escalated proposals escalated and pending with Zonal Corporate Doctor 1 Select Request Type as View Escalated and then click Search The system displays the search result screen that display the list of proposals escalated and pending with the Zonal Corporate Doctor as shown below iew Lab Appointments From Date 01 04 2012 19 04 2012 En Proposal Ho Request Type View Escalated ProposalNo insuredName_ Gender DateofBirth PhoneNumber 2 LabName View R 322200 01 2013 000204 RAVI KUMAR Male 10 MAY 1955 9456235515 Hitech Diagnostic Centre T Magar V
29. eports against the proposer in a single click mode in one PDF format A sample screen showing few reports is shown below p Infotech Innovation Insight Integrity Insurance The Health Insurance Specialist eed Fe be Star Health And Allied Insurance Company Linwted Bepi Loreen ee fee eem rara cone cope oa eee oe ideis Sa eee ie ee Goch RupiNUSumE Te comes mi rcm ke ok ril te peel bee een eed aed Fi pee of parece iam ieee eee T igen TE wi Age oe f j om all shop amarg Dom miete in hs mocmon pc hrbem m eS Re rpm n paci proieked M Gop top WE dep SCIRE E ER EIER EL d mtm ee i Cee Beton tal sens ama e EE bo i LLLI DIL fem t perm edm Li ee LI p Ll mem n pe LI PATHOLOGICAL LAB FCOMSUITIDIENDD PATEA DIAC A1 2 i8 P Colina SCAM ME hae ATE SPUR OLR Hires BHi ETEMA aod n ETAn ARTELE TT 5i LE LI Wonder inr HE COL 0d Hm xima phili VOFREHHS LJ 1 oe Be ee gt 15 Wh LI igh HE ml iin er E 75 BICAVER TEMA 1 had A LOLs IS LUCR ism ra Hige di Benin Ling E EIL Tempe dil High Rear pg VILI CBICR ET Vi Db gen CH HER RTI i A TIT UTE rus nni Ur ans us i moa Bw paar EELEE CTE 1 11 BI Ee CT R BUISEBEPLAEEERNEZEHNNE BP ah Ieee bilan Seba eee LEER eee BE BERBER SER 10 mm z 1 mV LILLTILIEIEIDLGE LIJIT LLIAJ Bi Sees SEER RSE SaD et BaP AWE EEE EHEEBHBESBEUHN Fur P 0 2 0 4 0 6 0 8 Time sec P wav
30. erson Dtl PED Code PED Desc ICD Chapter ICD Block ICD Code 6 Click Insured Person Dtls button to navigate to previous screen 7 Click Premium Calculation available in the proposal screen On clicking the premium is calculated for the proposal The system displays a success message as shown below Forms 01 20048178 Premium Calculation Completed successfully 8 Click OK to view the following Premium Details screen a Premium Detials Premium Details INDIAN RUPEES Total Premium 18 524 00 Serice Tax 2 290 00 Total Amount 20 814 00 Premium details screen displays the total premium and total amount calculated for the particular quotation policy Click Ok to go back to the main screen EP Infotech STAR rew Personal amp Caring Insurance Innovation Insight Integrity The Health Insurance Specialist 9 Click Convert to Policy button as shown below STAR HEALTH AND ALLIED INSURANCE CO LTD DMM OG be oops ls Proposal Incomplete Adv Rept Dtls Created by GOPI Approved by Accounting date 11 05 2012 00 00 Policy Type MED PLT 010 Mediclassic Individual Business Type 1 Direct Business Reject Proposal Number R 322200 01 2013 000451 Proposal Form No 1 Dt 11 05 2012 Acnt Print Customer AAN00020040 Mr RAJENDAR Proposer 1461111 RANJEET VERMA Insured Details Source Type 1 Direct Fulfiller Code 0322200 322200 SO CODE
31. format in which the schedule needs to be printed 16 Click Go The policy schedule generated in the required format is displayed as shown below MEDI CLASSIC HEALTH INSURANCE POLICY INDIVIDUAL SCHEDULE Proposer s Code 1481111 Issuing Office Code 322200 Proposer s Marne RANJEET VERMA Issuing Office Name Star Test Office Address SiO SHRIDAUDAYAL VERMA Address Ma 1 Mew Tank Street SARAY ALIGARH CHENNAI Phone Mo I88879884051 Phone Mo 18004252255 E mail ld Be E mail Id test officemamail com Proposal date gt 11 05 2012 Fulfiller Code 80322200 sector Mone Date of Inception af first policy 11 05 2012 Renewal Year NEY Receipt No 1130000213 1130000212 Phone No 15004252255 Date 11 05 2012 11 05 2012 testoffi all Premium Re 1852400 SenceTa Rs 229000 E Mal Id test office gmail com Stamp Duty Fe 1 00 Total Premium Rs 20 614 00 Name OFFICE DIRECT Total Premium In Words Rupees Twe Thousand Eight Hundred Fourteen Onl PERIOD OF INSURANCE FROM gt 11052012 11 07 42 Midnight Of 10 05 20 13 Hn of Persons Insured 2 Date of Birth Relationship Suminsured Cumu HCO ID Card Ho Pre existing llisease s with Proposer Rs Bonus 2 Rs RAJENDAR hi iorosriosa SELF S00000 0 1461111 58 Details af Insured Persons PED Exclusion far treatment of diseases related to CardioVascular Sy stern Exclusion far All Neuralagical and related Cormplicatians
32. g Blood Sugar Serum Creatinine ECG Urine Routine em fF to Bo Address of the Laboratory Hospital Hitech Diagnostic Centre T Nagar 13 Dr Mair Road Opp More Super MarketT Magar CHENMAL 47938200 42936205 You may kindly contact the laboratory hospital and fix up mutually convenient date amp time forthe medical examination at the earliest Kindly note that you do not have to pay the charges for the medica examination Please note that the acceptance of the proposal is subject to the evduation of the risk based upon the medical Examination report However cheque cash given by you is banked for operational convenience and banking of the Cheque cash does not mean acceptance of the risk If the proposal is accepted the cover will commence fromthe date of advance premium receipt Ifthe proposal is not acceptable the amount paid by you willbe refunded by our cheque Thanking You Yours faithfully Authorised Signatory CC to Laboratory Hospital Page 1 af 1 3 Click Submit to submit the appointment letter generated The record is saved successfully p Infotech Innovation Insight Integrity Personal amp Caring Insurance The Health Insurance Specialist View Prior Appointments This menu enables the Underwriter to view all previous lab appointments at any point of time in the web portal The screen to view prior appointments available in the queue is shown below Welcome
33. grity Proposal Details Proposal Ho Produet Hame Proposer Hame Insured Hame Gender R 3222049 401 2013 000151 Mecdiclassic Individual EAHJEET VERMA RA JEHDAR Male System Entry Date Policy Issuing Office Proposer Address Insured DOE Mobile Humber Ti MAY 2012 Star Test Office rs s Insurance The Health Insurance Specialist 3 0 SHRI DAUDAYAL VERMA SARAY RAY HEAR PAKKI SARAY ALIGARH TO MAY 1254 9897924061 Package Detailz Diagnostics Fackage Test Details General Physician Examination Fasting Blood Sugar Serum Creatinine ECG Urine Routine Diagnostics Center Details Date of Appointment 19 04 2012 Ez State TAMIL MAO bal City CHENNAI Hitech Diagnostic Centre T Nagar v l2 Dr Mair Road Upp More Super MarketT MHagar Diagnostics Lab Lab Address Lab Phone Humber 42938200 42338205 Lab Remarks Lab Remarks Doctor Remarks Page 35 of 51 Version 1 0 EP Infotech Ys TAR Pers taring Insurance Innovation Insight Integrity The Health Insurance Specialist F http 192 168 1 237 8082 Upload Documents Microsoft Internet Explorer Upload Reports Report Type View Report Proposal Form Proposal Form pdf View Report Insured Photo PHOTO1 JPG View Report The list of documents which are already uploaded in the system is displayed 4 Click View All to view all the uploaded r
34. i Classic Senior Citizen True Value Health Health All Care Insurance Family Health Optima Insurance Diabetice Safe Insurance Proposal Star Super Surplus Insurance Policy Star Health Gain Insurance Policy STAR CARE n CASH Star Super Surplus Insurance Floater ooo oocuocoocoo Medi Classic Individual Proposal 2 Click Medi Classic Individual Proposal menu The system displays the Underwriting screen as shown below Version No 10 3 1 50 STAR HEALTH AND ALLIED INSURANCE CO LTD DOAR ESS OG bat eel Ae ol Gf efe Created by GOPI Approved by Policy Type MED PLT 010 Mediclassic Individual ta Medi Classic Individual Proposal Accounting date Business Type Direct Business Proposal Number Customer Source Type Intermediary code Period From Prem Calc Type Mode Of Pay Fresh Policy Address 19 04 2012 16 41 3 Normal Annual Rural Social CC Credit Customer Own Office Renewal Section Proposal Form No Proposer Fulfiller Code Dep Prem Rcpt No To D Dt Insured Details 18 04 2013 23 59 Man Rec Yn L Id Card No Other Branch Renewal D Address Premium Calculation Image Upload Totals Version 1 0 Page 14 of 51 p Infotech Innovation Insight Integrity The status of the proposal as highlighted in the screen above is
35. iew The screen displays the following details Q Proposal No Insured Name Gender Date of Birth Phone Number Lab Name D DODULDIZLU View Click this hyperlink to view the proposal which are escalated to Corporate Office Approved On selecting the Request Type as Approved the Underwriter is able to view the list of entries approved by Area Doctor but still the proposal is not converted to policy 1 Select Request Type as Approved and then click Search The system displays the search result screen that display the list of proposals still pending with the Doctor as shown below 3 Infotech Welcome Gopi Last Login 5 11 2012 2 59 42 PM View Lab Appointments From Date Ed To Date Ed R 322200 01 201 3000451 Proposal Ho Request Type Proposal No InsuredName Gender Date of Birth Phone Number ss LabName View Escalate R 322200 01 2013 000451 RAJENDAR Male 10 MAY 1954 9897984061 Hitech Diagnostic Centre T Nagar View Escalate R 322200 01 2013 000451 RANI Female 27 MAR 1957 9897984061 Hitech Diagnostic Centre T Nagar View Escalate The screen displays the following details LJ Proposal No EP Infotech STAR ien ng Insurance Innovation Insight Integrity Insured Name Gender Date of Birth Phone Number Lab Name View Click this hyperlink to view the proposal which are approved D DOLDULDIZPLDocL Escalate Click this hyperlink to escalate the approve
36. k Search The system displays the list of rejected proposals as shown below iew Lab Appointments From Date Proposal Ho Request Type Rejected Proposal No _InsuredName 3 Gender Date of Birth Phone Number LED Name View Escalate R 322200 01 2012 002684 TEST Male 01 JAN 1955 NIL Hitech Diagnostic Centre View d R 322200 01 2013 000204 RAVI KUMAR Male 10 MAY 1955 9456235515 Hitech Diagnostic Centre T Nagar View E e The UW can either escalate or view the submitted proposals 7 Click Escalate hyperlink to escalate the proposal for further verification as shown below E http 192 168 1 237 8082 Assign Higher Authority Micr d Choose Office 900000 Corporate Office v Doctor Remarks Sir this proposal belongs to an important customer who gives premium more than 10 Lacs Please consider Ld pe Infotech STAR san s al amp Caring Insurance Innovation Insight Integrity The Health Insurance Specialist 8 Select the Office to whom the escalation needs to be done On escalating the request to the Corporate Office the request will be queued in the Corporate Medical Doctor log in 9 Enter the remarks in Doctor Remarks text box and then click Save On clicking the record is saved successfully Now the proposal awaits Corporate Office approval Policy Conversion 1 Logon to PREMIA application and query the proposal number to view the Propos
37. ld 10 Enter or select from the LOV the Sub A c Based on the selection the name of the sub account is displayed in the adjacent field 11 By default the system displays the following information in the Voucher Line Allocation Codes window Q Division Q Department 12 Enter or select from the LOV the Analysis Cd 1 Based on the selection the name of the analysis code 1 is displayed in the adjacent field Entire account details entered in the Voucher Line Allocation Codes window is automatically defaulted highlighted in the Premium Receipt main screen as shown below p Infotech Innovation Insight Integrity 11 05 2012 Doc Date 11 05 2012 T Doc No 111 01 Manual Ref No Due Date 11 05 2012 Manual Ref Date 3 Division 322200 Star Test Office Department 99 ACCOUNTS Narration RAJENDAR Customer Name MEDICLASSIC POLIY PREMIUM Amend Reason Flex Details Account Description Default VLAC Currency Mr RAJENDAR INR Amend No 0 Standard Para Approval History FC Amount Date s S amp S Health s s Insurance The Health Insurance Specialist Submit Currency INR Control Total Party Code INR LC AmountDr Cr Activity Code 1 20 000 00 t OrderNo Activity Code 2 00 820 Cr Main A c
38. nd while using the application Provides you details of error messages encountered in the application EP Infotech TAR ue s Insurance Innovation Insight Integrity The Health Insurance Specialist Introduction For any issuance of a policy medical checkup is mandatory for insured of age 50 years and above This is done to ascertain the existence of pre existing disease If there is any pre existing disease then the details have to be mentioned in policy contract to express the conditions If there is any such case then the policy is not converted or the coverage is not provided for the particular hospitalization Insurance is a product that is supposed to cover people with similar risk at similar cost While two people are proposing for a health insurance and one is with a symptom of disease and the second one is healthy Risk of the first person falling ill is much higher compared to the second person n case an insurance company decides to offer them policy then it will not be fair to charge both of them with the same premium as the risks they face are different So the insurance company will charge a higher premium or exclude hospitalization benefit of Pre Existing Diseases or impose additional conditions or reject the proposal There may be various problems in the human body which are unknown to proposer Only when the proposer undergo a medical checkups will come to know about these issues from the medical tests c
39. nerate the appointment letter to the insured person for medical checkup 1 Click Generate Letter The File Download dialog box is displayed as shown below File Download Do you want to open or save this file Mame R 3z2200 01 2013 000268 pdf Type Adobe Acrobat Document 66 7 KB From 192 1568 1 237 While Files from the Internet can be useful some files can potentially harm your computer IF vau do nat trust the source do not open or save this file What s the risk EP Infotech AR s al s Insurance Innovation Insight Integrity The Health Insurance Specialist 2 Click Open The generated appointment letter is displayed as shown below Star Health and Allied Insurance Co Ltd Regd amp Corporate Office 1 Hew Tank Street Valluvar Kottam High Road Hungambakkam Chennai 600054 Faft Aled Insurarmes Phone 044 28288800 Telefax 044 28260062 Website way starhealth in To Date 11 May 2012 RAJENMDAR Dear Sint aem Reg Tour proposal for medical insurance cover Ref No R j322200 01720 13700045 1 Wyp refer to your proposal Ot 11 MAY 20 12 and payment of Rs 20 814 00 towards premium We enclose aur Proposal Number Ri322200 01 2013 000451 ot 11 May 2012 for 5 20 814 0 0 Since you are above 50 years of age you are requestedto undergo the following tests and the medical examination at the below mentioned laboratory Hospital 1 General Physician Examination Fastin
40. onducted that may have critical impact on health at a later stage ABOUT MEDICAL EXAMINATION REPORT MER PoRTAL The Medical Examination Report portal is tightly integrated with PREMIA enabling seamless operation between Operating Offices Diagnostic Labs Area Zonal Corporate Doctors and Claims department It allows you to implement PED Pre existing Disease coding as per IRDA Insurance Regulatory Development Authority guidelines The portal also facilitates Q Automatic selection of Medical test packages based on Age and Sum Insured Q The uniform coding of PED Q Capturing ICD codes in proposal level Q Systematized payment of lab fees The portal provides you with different log in facility like Q Underwriter Q Diagnostic Lab Q Area Zonal Corporate Doctors The Area Zonal Corporate Doctors are only authorized to select PED in web portal from list of values which will automatically fetch in to PREMIA Policy Schedule will display the relevant wordings of PED selected by the Doctors p Infotech Innovation Insight Integrity Operation Flow of Pre Insurance Medical Diagnostic Branch undernwriter receives a propo sal Proposer Health na ng Insurance e Health Insurance Specialist Convert to Policy OR 6 Reject the The proposer may l Z proposal be needed to go for a Pre medical test as suggested by Medical doctor A y Medical Doctor in Area office receves
41. orized by and an behalf af the company has set his hand at Star Test Office on 11th Dav of May 2012 Version 1 0 Page 50 of 51 Sid Infotech STAR san icing Insurance Innovation Insight Integrity he Health Insurance Specialist Acronyms Acronyms Expansions IRDA Insurance Regulatory Development Authority ICD International Classification of Diseases End of Document
42. pecify that the proposal is fresh Capture Details Section 8 Click Address tab to view the address details of the proposer as shown below Lil Address Rural 5social Section Other Details cO SHRI DAUDAYAL VERMA SARAY RAY MEAR PAKKI SARs LIGARH 9 Click Rural Social tab to enter the IRDA details as shown below Lad Address RuralSocial Section Other Details Se E 10 Click Section tab The system displays the selected section code as shown below p Infotech Innovation Insight Integrity Address RuralSocial Section Other Details MED SEC D10 Mediclassic Individual iJ Capture Risk Information 11 Click Risk Information On clicking the system displays the Insured Person Details screen as shown below Insured Person Dtl Physicians Details Image Upload Portability PED i v RAIENoaR fm femen oss sf o occuP2 300000 00 HYPERTENS 20 2 Nw fe RELMED S poses 1 OccUP2 so0cm00ASTHWA E um LL 1 IN FEMALE SPOUSE SERVICE M M III 12 Enter the insured details in the respective fields d d D S No Serial number of the insured person ID card YN Enter Yes or No to specify whether ID is available or not o f Yes this specifies that the insured person holds an ID card of STAR HEALTH and the system does not generate new ID card number o The Id Card No is displayed under Id Card No field You
43. rd in Password Click OK to login Click Password to reset the password The system displays the message Authentication Failed if a wrong password is entered p Infotech Innovation Insight Integrity Home Page On successful login the system displays the PREMIA application The Branch Underwriter enters the proposal details in PREMIA application to generate the proposal Capture New Customer Details To create new customer 1 Click Underwriting J Customer Master menu to view the screen as shown below za Menu Manager e Y underwriting X Claims ar l As per Physical proposal the proposer age exceeds 50 Underwriter decides to issue policy thru Advance Recipt after Medical test As per physical proposal if the Proposer age exceeds 50 years the Underwriter decides to issue policy through Advance Receipt after medical test p Infotech Innovation Insight Integrity 2 Click Customer Master menu to view the screen as shown below Mr RAJENDAR Communicat Alternative A Currency Addl Info TDS Party Stop List 3 Enter the mandatory details in the respective fields The Customer code is to be created for new Customers 4 Click Save to save the entered customer details On saving the details the Customer Code is automatically generated EP Infotech STAR s Insurance Innovation Insight Integrity The Health Insurance
44. ser RANJEET VERMA Insured Details Direct OD322200 322200 OD CODE Period From 11 05 2012 11 07 Source Type Intermediary code Dep Prem Rcpt No Prem Calc Type 3 INormal Annual Fulfiller Code 322200 SO CODE 10 05 2013 23 59 50322200 To Premium Comp Sheet Man Rec Yn Mode Of Pay CC Credit Customer ld Card No 1461111 1 Fresh Policy v Own Office Renewal Other Branch Renewal Address Rural social Section Other Details Sr No Section Code Description MED SEC 010 Mediclassic Individual Risk Information Totals Image Upload 12 Click Underwriting Policy Documents Policy Endorsement Preview 13 Enter the Policy No to print the schedule as shown below PEEBO Policy Endorsement Product Code Print Y N Print Y N Premium Computation Shee E Life Cover Certificate Certificate Schedule Policy No P 322200 01 2013 000 Endorsement No o Duplicate Display Premium v Download Endorsed Policy NM NM M NM NM NM IN I Printer Name No of Copies lew Print File Logo Y M ParamList Y M lw File Name PGIROOS3 pdf Excel Publish and Subscribe p Infotech Innovation Insight Integrity Health s Insurance The Health Insurance Specialist 15 Select the required option the
45. sign Lab R 322200 01 2013 000451 RAJENDAR Male 27 MAR 1957 Assign Lab R 322200 01 2013 000451 RANI Female p Infotech Innovation Insight Integrity Health Personal amp Caring Insurance The Health Insurance Specialist 1 Click Assign Lab hyperlink as shown in the screen corresponding to the Insured Name The system displays the proposal form as shown below Proposal Details Proposal Ho R 322200 01 201 34000451 System Entry Date TIMAY 2012 Product Hame Mediclassic Individual Policy Issuing Office Star Test Office Proposer Address S O SHRI DAUDAYAL VERMA SARAY RAY HEAR PAKEI SARAY Proposer Hame RANJEET VERMA Insured Hame RAJEHDAR Gender Male Mobile Humber 589279234061 Proposal PED HYPERTEHSICOH Package Details Diagnostics Package Test Details Diagnostics Center Details Date of Appointment City Diagnostics Lab Lab Address Lab Phone Humber ALIGARH Insured DOE TMA 4254 Sum Insured SOMMM Based on Sum Insured and Age the system automatically selects the Medical Test Package eneral Physician Examination ing Blood Sugar Serum Creatinine ETG Urine Routine 11 05 2012 Ed TAMIL MARO ka CHENMA ka Hitech Diagnostic Centre T Magar v 13 Dr Hair Boad Opp More Super MarketT Nagar 42938200 42950205 F LOLS The screen displays the following proposal details Q Proposal No DOODO 0O
46. ssword Fields marked with are mandatory TRANSACTIONS Lab Appointment The Lab Appointment menu enables the branch underwriter to confirm the date and time of appointment for Medical Diagnosis in consultation with the proposer opted for Medical Diagnostic for a risk in a policy in PREMIA application After confirmation the system enables you to generate an appointment letter which can be carried by the proposer To search for records and fix up the date of lab appointment 1 Click Transactions Lab Appointment The Lab Appointment screen is displayed as shown below Welcome Gopi Last Login 4 19 2012 4 27 33 PM 2 Enter or select from the application calendar LOV the From Date and To Date for the medical diagnosis p Infotech PPAR Innovation Insight Integrity The Health Insurance Specialist April 2012 Mon Tue Wed Thu Fri 3 b 12 13 iE ar Today is Thu 19 Apr 2012 3 Select from the drop down list the Request Type as Fresh and then click Search Fresh Appointments If the Request Type is selected as Fresh then the search result displayed shows the list of fresh proposals waiting for medical diagnostic appointment opted in PREMIA application as shown below 3 Infotech Welcome Gopi Last Login 5 11 2012 10 48 08 AM Lab Appointment 11 05 2012 E 11 05 2012 E From Date Proposal Ho w Request Type 10 MAY 1954 As
47. t MER is submitted to STAR 6 STAR office Medical Doctor in Area Office reviews the reports and proposal documents and records his suggestions in the web portal 7 Underwriter proceeds with the medical doctor s suggestion on the proposal whether to accept or reject the proposal a If the proposal and medical report is not fulfilling the underwriting requirement the underwriter rejects the proposal b If the proposal is accepted with some limitations and conditions the proposal is accepted with expressed conditions Page 6 of 51 p Infotech TAR aw Innovation Insight Integrity Personal amp Caring Insurance he Health Insurance Specialist 8 Underwriter converts the accepted proposal to policy Logon to PREMIA To capture Proposer details 1 Logon to PREMIA application 2 Enter the URL provided to you in the address bar of the Internet Explorer screen and then click Go The PREMIA application login screen is displayed as shown below User ID OP a Password 5 Company Code oor tt Office Code 322200 go Dept Code 99 m Cancel T 27 3 a a Si n fotech Version STAR 19 04 2012_MEDI_PA PREMIA InmnovaNon insight integrity Ep 3 Enter the valid and unique ID provided to you in User ID On entering the system displays the corresponding Company Code Office Code and Dept Code in the respective fields Enter the corresponding passwo
48. the following message Forms EP Infotech TAR ng Insurance Innovation Insight Integrity The Health Insurance Specialist Check for Advance Receipt Payment Normally the proposals are created in Advance Receipt model The amount equal to expected Premium is received in advance as deposit amount of the proposer On acceptance of the proposal this deposit amount gets credited as Premium amount while converting to policy On rejection of the proposal Risk the full partial amount gets refunded from the deposit amount 1 Click Advance Receipt Dtls button from the main screen as shown below STAR HEALTH AND ALLIED INSURANCE CO LTD DOA AR ACSAA AME 0B Proposal Incomplete Created by GOPI Approved by Accounting date Policy Type MED PLT 010 Mediclassic Individual Business Type 1 Direct Business Reject Proposal Number R 322200 01 2013 000451 Proposal Form No 1 Dt 11 05 2012 AcntPrin Customer AADO0020040t Mr RAJENDAR Proposer 1461111 RANJEET VERMA Insured Details Source Type 1 Direct Fulfiller Code 50322200 322200 SO CODE Premium Calculation Intermediary code OD322200 322200 OD CODE Dep Prem Rept No reni comp ssa Period From 11 05 2012 11 07 To 10 05 2013 23 59 Prem Calc Type 3 INormal Annual Convert to Policy Man Rec Yn D Mode Of Pay Credit Customer Id Card No 1461111 1 Fresh
49. tre T Nagar View R 322200 01 2013 000174 HHHHH Male 10 MAY 1956 9597984061 Hitech Diagnostic Centre T Nagar View R 322200 01 2013 000257 RAJAN Male 10 MAY 1955 9952752372 Hitech Diagnostic Centre T Nagar View The screen displays the following details LJ Proposal No Insured Name Gender Date of Birth Phone Number DOODO Lab Name Q View Click this hyperlink to view the proposal form which are converted to policy Now to convert the proposal to policy 2 Logon to the MER portal with the login credentials of an Underwriter as shown below 3 Infotech Username GOP Password eeee 3 Enter UserName and Password in the respective fields 4 Click Submit On submitting the Welcome page of the medical portal is displayed To view approved proposals waiting to be converted to policies 5 Select the Request Type as Approved and then click Search The system displays the list of approved proposals as shown below p Infotech Innovation Insight Integrity Personal amp Caring Insurance The Health Insurance Specialist J Infotech Innovation Insight lntegrity Welcome Gopi Last Login 5 11 2012 2 59 42 PM _Masters Transactions iew Lab Appointments From Date Ej R 322200 01 7201 3 000451 Proposal Ho Request Type Approved To view rejected proposals 6 Select the Request Type as Rejected and then clic
50. window to upload the documents as shown below p Infotech Rem Innovation Insight Integrity Insurance Specialist S http 192 168 1 237 8082 Upload Documents Microsoft Internet Explorer Upload Reports Select File E Wataraj Projects 001 S Document twe Set d HP IPLE IS Report Type iue ts Cee RU TIET vw rr Report ET Proposal Form Proposal form pdf Miew Report Delete Click the hyperlink to Click the hyperlink to view the report delete the report L Internet 2 Click Browse to select the file from the desired location 3 Select form the drop down list the relevant Document Type as Proposal or Photo 4 Click Upload The uploaded documents get listed in the screen below Ji http 192 168 1 237 8082 Upload Documents Windows Internet Explorer p E bd Upload Reports Report Type View Report Delete Proposal Form Proposal Form pdf View Report Delete Insured Photo Raj JPG View Report Delete Scanned Proposal Form and Insured Photo are attached Infotech FAR seam Personal amp Caring Insurance Innovation Insight Integrity he Health Insurance Specialist You can view the uploaded report individually and delete it by clicking the View Report and Delete hyperlinks respectively 5 Click View Report to view the report individually The File Download
51. yed as shown below Ya Advance Receipt Dtls Sa Back edit Bal Amt Instrument Inst No 20000 CSH CSH Amount 20000 Doc Dt Main Acnt 11 05 2012 B000 8000 Doc No 1130000212 1130000213 11 05 2012 Sr No Tran Code SMS Code 1 11 01 Li M I Click Save to save the advance receipt details 4 Click Premium Computation to view the screen as shown below FI veer 9 a Medi Classic Individual Proposal sj w via Premium Calculation Sheet Amount 18 900 00 Basic Cover Hospital Cash Cover Voluntary Co Pay Discount TOTAL PREMIUM SERVICE TAX STAMP DUTY TOTAL AMOUNT 5 Click Close to close the screen 550 00 1 02600 18 524 00 2 290 00 1 00 20 814 00 p Infotech Innovation Insight Integrity Convert to Policy 1 Click Convert to Policy The Approval Confirmation dialog box is displayed as shown below Approval confirmation 2 Click Yes The system displays the following message 01 12345678 MER Approval Required For Risk s Forms System will not allow to convert the proposal to policy without Medical report and Area Docior approval p Infotech Personal amp Caring Insurance Innovation Insight Integrity DIAGNOSTIC LAB ASSIGNMENT FOR EXAMINATION Here the Underwriter logs on to Medical Diagnostic Portal to confirm the date an

Medical Examination Portal-Underwriter Login

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