What is a claim?
One or a number of invoices a member (or provider on behalf of a member) presents to a health fund for the payment of benefits. The invoices may relate to hospital, extras or medical services. If the invoices are unpaid, the hospital, doctor or ancillary provider may in some instances claim the benefits directly from the fund on the member’s behalf. The member would then only be required to reimburse the provider with the balance owing. A member must complete the appropriate claim form. If for extras cover, a member needs to swipe their membership card through the electronic claiming facility at the Recognised Provider’s place of business, attach all documents we require and ensure the application for benefit is signed by the member.
Claims are most important in the patent application. They describe the scope of coverage that the inventor attempts to receive from the government. Sufficient patent coverage ensures that potential patent infringers will be prevented from making, using or selling your invention even if they make a slight modification.
