FIDReC often handles health insurance claims. In November 2021, the Multilateral Healthcare Insurance Committee established the Clinical Claims Resolution Process (CCRP). The CCRP handles clinical claims arising from integrated shield plans. It does so by having an expert panel review the claim based on the documents submitted. It is another option for consumers to resolve their integrated shield plan claims against the insurers.
The flowchart in the attached document suggests a path that consumers can take to resolve such claims.
Consumers should note that the CCRP is voluntary. This means that the financial institution can choose not to take part. In that event, the CCRP is not able to handle a claim. Consumers should also know that the decision of the CCRP binds them, and they must follow it.