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CXone Expert Clone Site 216

Required Documentation

Proper documentation ensures smooth processing of your Takaful claims while maintaining transparency and Sharia compliance. This guide outlines all documentation requirements for Watania Takaful members.

General Documentation Principles

Language Requirements

  • Documents must be in Arabic or English
  • Other languages require certified translation
  • Arabic preferred for Sharia Board reviews
  • Medical terminology acceptable in English

Document Authenticity

  • Original documents or certified copies required
  • Provider stamp and signature mandatory
  • No alterations or corrections accepted
  • Digital documents must have e-signature

Document Validity Periods

Document Type Validity Period Special Notes
Medical prescriptions 7 days 3 days for controlled medicines
Lab test results 30 days 14 days for time-sensitive tests
Pre-approvals 14 days Extensions available
Medical reports 3 months 6 months for chronic conditions
Invoices for claims 30 days to submit From treatment date
Maternity documents Full pregnancy term Until 42 days post-delivery

Service-Specific Documentation

Outpatient Consultation

  • ✓ Doctor's report with diagnosis and treatment
  • ✓ Itemized invoice showing breakdown
  • ✓ Prescription (if medicines prescribed)
  • ✓ Referral letter (Basic plan for specialists)
  • ✓ Gender preference request (if applicable)

Diagnostic Tests

  • ✓ Doctor's request with medical justification
  • ✓ Test results report (signed by pathologist/radiologist)
  • ✓ Itemized invoice for each test
  • ✓ Pre-approval for MRI/CT/PET scans
  • ✓ Images/films (for radiology)

Hospital Admission

  • ✓ Admission report with diagnosis
  • ✓ Discharge summary (detailed)
  • ✓ Final itemized bill
  • ✓ Operation report (for surgeries)
  • ✓ Anesthesia record
  • ✓ All investigation reports
  • ✓ Nursing notes (if requested)
  • ✓ Pre-approval reference

Emergency Treatment

  • ✓ Emergency room report
  • ✓ Proof of emergency (ambulance report, police report if accident)
  • ✓ Treatment summary
  • ✓ Itemized emergency charges
  • ✓ Notification to NAS within 48 hours

Specialized Service Documentation

Maternity Services

Stage Required Documents
Registration Pregnancy confirmation, Expected delivery date, Maternity card
Prenatal Visit reports, Ultrasound results, Test results
Delivery Admission report, Delivery summary, Newborn examination
Postnatal Mother's discharge, Baby's reports, Vaccination record

Mental Health Services

  • ✓ Psychiatrist/psychologist qualification proof
  • ✓ Initial assessment report
  • ✓ Treatment plan (Sharia-compliant approach noted)
  • ✓ Session notes summary
  • ✓ Islamic counselor credentials (if applicable)

Alternative Medicine

  • ✓ Practitioner license/certification
  • ✓ Treatment type (Hijama, Herbal, etc.)
  • ✓ Medical justification
  • ✓ Pre-approval for prophetic medicine
  • ✓ Session/treatment records

Dental Treatment

  • ✓ Dental chart/X-rays
  • ✓ Treatment plan with costs
  • ✓ Pre-approval for major work
  • ✓ Before/after photos (if requested)
  • ✓ Lab work invoices (crowns, bridges)

International Treatment Documentation

  • ✓ All standard medical documents PLUS:
  • ✓ Passport copy with entry/exit stamps
  • ✓ Emergency certificate (if emergency)
  • ✓ Currency exchange proof (official rate)
  • ✓ Translated documents (certified)
  • ✓ Travel insurance coordination (if any)
  • ✓ Local registration (if required)

Sharia Compliance Documentation

Special Circumstances Requiring Additional Documents:

Situation Additional Requirements
Cosmetic procedures Medical necessity letter, Photos, Psychological assessment (if applicable)
Fertility treatment Marriage certificate, Treatment protocol, Sharia compliance certificate
Gender preference Written request, Religious justification (if needed)
Accident claims Police report, Witness statements, Confirmation of lawful activity

Document Submission Guidelines

Quality Requirements:

  • Clear, legible copies (no blurry text)
  • Complete documents (all pages)
  • Proper orientation (not sideways/upside down)
  • High resolution for digital uploads (min 200 DPI)
  • Color scans for stamps/seals

Organization Tips:

  1. Arrange documents chronologically
  2. Group by service type
  3. Number pages if multiple
  4. Include cover sheet with summary
  5. Keep copies for your records

Digital Documentation

Online Submission Specs:

  • File formats: PDF, JPEG, PNG
  • Maximum size: 2MB per file
  • Total submission: 10MB
  • Naming convention: MemberID_DocumentType_Date
  • Compressed files not accepted

E-Document Features:

  • Digital stamps accepted from verified providers
  • E-prescriptions with QR codes valid
  • Blockchain-verified documents preferred
  • Electronic health records acceptable

Missing Document Procedures

If unable to obtain required documents:

  1. Contact provider for duplicates (fees may apply)
  2. Submit explanation letter with claim
  3. Provide alternative supporting documents
  4. NAS may verify directly with provider
  5. Sharia Board may accept sworn declaration

Document Retention Requirements

Document Type Retention Period Purpose
Claim documents 2 years Audit and surplus calculation
Pre-approvals 1 year Reference and renewal
Major surgery 5 years Medical history
Chronic condition Lifetime Ongoing treatment

Common Documentation Errors

  • ❌ Unsigned medical reports
  • ❌ Missing provider stamps
  • ❌ Expired prescriptions submitted
  • ❌ Partial invoices without breakdown
  • ❌ Non-certified translations
  • ❌ Altered or corrected documents
  • ❌ Missing pages from reports

Document Support Services

  • Document Help Desk: 800-4408 (Option 3)
  • Email Queries: documents@neuron.ae
  • Translation Services: List of approved translators available
  • Sharia Documentation: Islamic advisory team assistance

Important: All documents are kept confidential and used only for Takaful claim processing in accordance with Islamic principles of trust (Amanah).

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