Smart Hospital Rolldown

Can patient combine their policies if they have both Employee Benefit and Individual Benefit policies?

• Yes

• No

What is the first step in the SMART Journey for SMART Options?

• Specialist Consultation

• Discharge

• GP Visit

• Admission

For SMART Option policy member, what document is required for an Initial Guarantee Letter (IGL) request to avoid co-share being imposed?

• Referral letter from GP

• Pre-Authorization Form

• Lab report

• Discharge Summary

What is the ceiling price applicable to?

• Outpatient procedures

• Inpatient & daycare procedures - non complex

• Emergency services

• General consultations

How do you submit the information for a new doctor joining the hospital?

• Call the contact centre

• Email to Provider Network mailbox

• Microsoft form - link will be shared with a memo

• Contact any known AIA personnel

How many days in advance should I submit the information of new doctors?

• 7 days

• 15 days

• 30 days

• 1 day

Who do I contact for any issue related to Guarantee Letters?

• Contact Centre

• Email to Provider Network mailbox

• Contact any known AIA personnel

• Email to AHS Claims

What is the role of the AIA Clinician Connect?

• To manage hospital admissions

• To direct GL and claims-related inquiries from specialists

• To provide patient care

• To handle billing issues

What is required for a patient to be eligible for SMART Value-Added Services?

• They must have Employee Benefit under AIA

• They must pay a fee

• They must be referred by a specialist

• They must have any AIA policy

What do I do if there is any dispute to the Final Guarantee Amount?

• Send an email to Provider Network mailbox

• Call the contact centre

• Submit through Amended Bill Request on portal

• Contact any known AIA personnel