sr_no stringlengths 1 3 | question_body stringlengths 13 459 | alternatives dict | correct_alternative stringclasses 4
values | source_file stringclasses 3
values | category stringclasses 2
values |
|---|---|---|---|---|---|
292 | What is the most important document required to process a health insurance claim? | {
"1": "Investigation report",
"2": "Consolidated and detailed bills",
"3": "Receipt for payment",
"4": "Discharge summary"
} | 4 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
293 | What is the purpose of investigation reports in health insurance claims? | {
"1": "To provide a summary of the patient's condition",
"2": "To provide a break-up of the bills",
"3": "To assist in comparing the diagnosis and treatment",
"4": "To verify the identity of the patient"
} | 3 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
294 | What is the purpose of the claim form in health insurance claims? | {
"1": "To provide a summary of the patient's condition",
"2": "To request processing of the claim",
"3": "To provide a break-up of the bills",
"4": "To assist in comparing the diagnosis and treatment"
} | 2 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
296 | Which document may be required for accident claims? | {
"1": "Consolidated and detailed bills",
"2": "Identity proof",
"3": "Dialysis/Chemotherapy/Physiotherap y charts",
"4": "FIR or Medico-legal certificate"
} | 4 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
297 | What is the purpose of having a membership with the TPA? | {
"1": "To obtain discounts on medical treatment at hospitals. ",
"2": "To receive reimbursement for medical expenses not covered by the policy. ",
"3": "To avail cashless facility for hospitalization or treatment covered by the policy, and to process claims when required. ",
"4": "To receive medical advice and... | 3 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
298 | What document does the TPA issue to the hospital for cashless treatment? | {
"1": "Medical report",
"2": "Discharge summary",
"3": "Pre-authorization or Letter of Guarantee",
"4": "Prescription for medication"
} | 3 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
299 | What is claims investigation about? | {
"1": "Determining the validity of the claim and finding out the real cause and extent of the loss",
"2": "Assessing the credibility of the claimant's occupation",
"3": "Verifying the authenticity of the claimant's identity documents",
"4": "Calculating the premium to be charged for the policy"
} | 1 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
300 | What documents are required for name and address verification for AML (Anti-money laundering) purposes? | {
"1": "Birth certificate and rental agreement",
"2": "Passport and bank statement",
"3": "Aadhar card and credit card statement",
"4": "PAN card and telephone bill"
} | 4 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
301 | What is the role of assistance companies in overseas claims? | {
"1": "They process claims on behalf of insurance companies",
"2": "They provide assistance to customers in case of contingencies covered under the policy",
"3": "They offer tie-up arrangements with hospitals for cashless treatment",
"4": "They provide legal assistance to customers during claims process"
} | 2 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
302 | Which of the following is NOT a service provided by assistance companies during overseas travel insurance claims? | {
"1": "Medical service provider referrals",
"2": "Interpreter Referral",
"3": "Delivery of Essential Medicines",
"4": "Rental car booking"
} | 4 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
303 | What is the fee charged by assistance companies for their services? | {
"1": "It varies depending on agreement with the particular insurance company, benefits covered etc. ",
"2": "It is a fixed amount for all customers of the insurance company",
"3": "It is determined by the insurance company and is the same for all assistance companies",
"4": "There is no fee charged for the se... | 1 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
304 | Which of the following steps is necessary for hospitalization in case of a travel insurance claim? | {
"1": "Submit a written request to the insurance company",
"2": "Visit any hospital of choice",
"3": "Intimate the call centre and proceed to a specified hospital with a valid travel insurance policy",
"4": "None of the above"
} | 3 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
305 | How do hospitals verify the validity of an overseas travel insurance policy? | {
"1": "The hospitals do not verify the validity of the policy before treatment",
"2": "The hospitals contacts the assistance companies/ insurers on the call centre numbers to check the validity of the policy and verify coverages. ",
"3": "The hospitals call the insured's family or friends to confirm the policy d... | 2 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
306 | Which type of claim payment is made in foreign currency? | {
"1": "Cashless claims",
"2": "Reimbursement claims",
"3": "Both cashless and reimbursement claims",
"4": "None of the above"
} | 1 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
307 | What is the currency conversion rate used while processing reimbursement claims? | {
"1": "The rate as on date of loss",
"2": "The rate as on date of filing the claim",
"3": "The rate as on the date of discharge from the hospital",
"4": "The rate as on the date of admission to the hospital"
} | 1 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
308 | What currency is used for payments for admissible claims in reimbursement claims for overseas travel insurance? | {
"1": "British Pound (GBP)",
"2": "Indian Rupee (INR)",
"3": "United States Dollar (USD)",
"4": "Euro (EUR)"
} | 2 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
309 | Which document is required to certify the disability of an insured individual? | {
"1": "Birth certificate",
"2": "Passport",
"3": "Permanent disability certificate from a civil surgeon or equivalent competent doctors",
"4": "Driving license"
} | 3 | InsuranceAgents_Life-Question Bank_28032023.md | Life |
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