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Required Documentation

Proper documentation is essential for smooth claim processing and approvals. This guide outlines all documents required for various insurance processes with Al Wathba and NAS Neuron.

General Document Requirements

Language Requirements

  • Documents must be in English or Arabic
  • Other languages require certified translation
  • Medical terms should be clearly legible
  • Handwritten prescriptions must be stamped

Document Validity

Document Type Validity Period
Medical prescriptions 7 days from issue date
Lab test results 30 days
Pre-approval letters 14 days
Medical reports 3 months
Invoices for claims Submit within 30 days

Documents by Service Type

Outpatient Consultation

  • ✓ Doctor's report with diagnosis
  • ✓ Itemized invoice/receipt
  • ✓ Prescription (if medicines prescribed)
  • ✓ Referral letter (for specialist visits on Basic plan)

Diagnostic Tests

  • ✓ Doctor's request/prescription
  • ✓ Test results report
  • ✓ Itemized invoice
  • ✓ Pre-approval reference (for MRI/CT)

Hospital Admission

  • ✓ Admission report
  • ✓ Discharge summary
  • ✓ Itemized final bill
  • ✓ Operation report (for surgeries)
  • ✓ All test results and reports
  • ✓ Pre-approval reference number

Maternity Services

  • ✓ Maternity card/pregnancy confirmation
  • ✓ Ultrasound reports
  • ✓ Delivery report
  • ✓ Newborn medical report
  • ✓ Birth certificate (for newborn addition)

Pharmacy Claims

  • ✓ Original prescription
  • ✓ Pharmacy invoice with medicine details
  • ✓ Doctor's report (for chronic medications)

Specific Claim Documents

Reimbursement Claims - Complete Checklist

Document Original/Copy Mandatory
NAS Reimbursement Form Original Yes
Itemized invoices Original Yes
Medical report Copy Yes
Prescription Copy If applicable
Test results Copy If applicable
Emirates ID Copy Yes
Insurance card Copy Yes

Pre-Approval Documents

  • ✓ Medical report stating diagnosis
  • ✓ Treatment plan from doctor
  • ✓ Cost estimate from provider
  • ✓ Previous medical history (if relevant)
  • ✓ Supporting test results

Special Documentation Requirements

Dental Treatment

  • Dental chart/treatment plan
  • X-rays (for major procedures)
  • Pre and post treatment photos (if requested)

Physiotherapy

  • Referring physician's report
  • Physiotherapy assessment
  • Treatment plan with session details

Mental Health Services

  • Psychiatrist/psychologist report
  • Treatment plan
  • Referral from GP (if first visit)

International Claims

  • All standard documents PLUS:
  • Passport copy with entry/exit stamps
  • Currency exchange proof
  • Emergency report (if emergency care)
  • English translation of documents

Document Submission Best Practices

DO:

  • ✓ Keep original receipts safe
  • ✓ Make clear copies/scans
  • ✓ Ensure all stamps are visible
  • ✓ Check doctor's license number is included
  • ✓ Verify dates are correct
  • ✓ Submit complete sets together

DON'T:

  • ✗ Submit blurry or partial documents
  • ✗ Use correction fluid on documents
  • ✗ Submit expired prescriptions
  • ✗ Forget to sign claim forms
  • ✗ Mix multiple claims in one submission

Digital Document Guidelines

For Online Submission:

  • File format: PDF or JPEG
  • Maximum file size: 2MB per document
  • Resolution: Minimum 200 DPI
  • Color scans preferred for stamps
  • Name files clearly (e.g., "Invoice_DrName_Date")

Missing Documents Procedure

If you cannot obtain certain documents:

  1. Contact the healthcare provider immediately
  2. Request duplicate copies (may incur fees)
  3. If unavailable, submit explanation letter
  4. NAS may contact provider directly
  5. Alternative documents may be accepted

Document Retention

Keep copies of all documents for:

  • Minimum 12 months after claim settlement
  • Full policy period for pre-approval letters
  • Permanent records for major surgeries
  • Tax purposes as per UAE regulations

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