LifeCome HMO Nigeria Limited is developing claims-administration processes for its proposed services. Claims processing is not currently open.
Future processes are intended to check membership eligibility, provider status, plan benefits, required authorisations, supporting documents, agreed fees and duplicate submissions.
The intended approach is to explain documentation queries and relevant decisions, with a route for further review where applicable. Submission and payment arrangements will be governed by the relevant plan and provider documents.
Clinical questions should be considered by suitably qualified professionals. Suspected misuse should be assessed through proportionate review without assuming that an allegation establishes fraud.
Claims information can contain sensitive health data. It should only be requested and handled through suitable secure processes when services begin. Please do not submit claim documents through this website’s enquiry forms.