An insured is required to submit proof of loss on a health insurance claim within how many days of the date of loss?

Prepare for the North Carolina Accident and Health Exam. Utilize flashcards and multiple choice questions featuring hints and explanations. Ace your exam effortlessly!

In the context of health insurance claims, the requirement for an insured to submit proof of loss is typically outlined within the policy terms. Generally, most health insurance policies require that proof of loss be submitted within 90 days after the date of loss. Submitting proof of loss is crucial because it provides the insurer with necessary documentation to process the claim, evaluate the circumstances, and determine the benefits that may be payable to the insured.

Selecting 180 days or 365 days as the time frame would not accurately reflect the standard practice commonly seen in health insurance contracts, which promotes prompt reporting of claims to facilitate timely processing and payment. A shorter reporting period is in place to help ensure that information about the claim remains current and that both the insured and the insurer can manage benefits effectively.

In summary, the accurate timeframe for an insured to submit proof of loss after a health insurance event is indeed 90 days, making this option the most appropriate answer for the question presented.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy