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HDFC Ergo NM team training module for new joiners

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Who is insurer.

a)

TPA

b)

Proposer

c)

Insurance Co.

d)

All of above

2.

What is OPD .

a)

Out Patient Department.

b)

Other Patient Department.

c)

In Patient Department.

d)

All of above

3.

What is daily cash limit of Room & ICU.

a)

1 & 2 % of Sum Insured

b)

1000 & 2000 Per Day

c)

500 & 1000 Per Day

d)

None of above

4.

What are the type of send back errors.

a)

Bill Entry Error

b)

NEFT Error

c)

Tariff Entry Error.

d)

All of the above

5.

What type of documents can be consider under KYC Proof.

a)

Rent Agreement.

b)

Aadhar Card

c)

Passport

d)

All of above

6.

What is deductible.

a)

Total Sum Insured

b)

50% of Sum Insured

c)

Specific mentioned amount in the policy.

d)

None of above

7.

How many hospitals are under HDFC Ergo Panel.

a)

4000 +

b)

8000 +

c)

10000 +

d)

25000 +

8.

What is similar category of Semi Private.

a)

Twin Sharing Room

b)

General Ward

c)

Private AC

d)

Suite

9.

What is Tariff.

a)

M.O.U with hospital.

b)

Billed amount by hospital

c)

Room Category of hospital.

d)

Coverage of room in the policy.

10.

What is Sum Insured.

a)

Total payable Amount .

b)

Total Billed amount

c)

Total Limit of policy.

d)

All of above

11.

What Is implant.

a)

Part of OT Equipment .

b)

Part of investigation.

c)

Part Of Surgeon Fee.

d)

None of above

12.

What is Cumulative Bonus.

a)

Discount of Policy Perimium.

b)

Extra Amount provided in claim free Renewal.

c)

Total Sum Insured

d)

Top-up amount in the policy.

13.

What is domiciliary Treatment.

a)

Treatment Taken at OPD basis.

b)

Treatment taken as Day care basis.

c)

Treatment taken at home.

d)

Treatment taken in hospital

14.

What is Pre & Post Expenses.

a)

Expenses of before hospitalisation.

b)

Expenses of after hospitalisation.

c)

Expenses of During the hospitalisation.

d)

None of above

15.

To whom disburse the short Payment of cashless claim.

a)

Insured

b)

Nominee

c)

Hospital

d)

Bank

16.

Who is the nominee.

a)

Insured Wife.

b)

Insured Son.

c)

Insured Mother.

d)

Declared in the policy.

17.

Source of Pre-auth request.

a)

NSP Portal.

b)

Mail.

c)

Fax

d)

All of above

18.

To who disburse the amount of Supplementary Reimbursement.

a)

Hospital

b)

Bank

c)

Proposer

d)

All of above.

19.

Which benefit comes under rider.

a)

Critical Illness

b)

Hospital cash

c)

A & B

d)

None of above

20.

What Payable amount need to be consider as per Insurance Law.

a)

Which ever if Highest.

b)

Which ever is lowest.

c)

A & B

d)

None of above