When claiming indemnity health insurance benefits, you must first check whether the illness or accident has previously been claimed through Silson24. Silson24 is a relay service that automatically transmits medical fee receipts, detailed medical statements, prescriptions, and pharmacy receipts for treatment received at participating medical institutions to the insurance company. Once the documents are delivered to the insurer, the insurer handles the receipt, review, and payment procedures.

■ How to distinguish between new claims and additional claims

Claim types are divided into 'new claims' and 'additional claims.' If you are claiming insurance benefits through Silson24 for the first time for a specific illness or accident, select a new claim. Even if you have claimed directly with an insurance company before, if it is your first time applying through Silson24, you must proceed as a new claim.

An additional claim can be used when you received further treatment related to an illness or accident previously claimed through Silson24. It automatically retrieves the relevant information entered in the previous claim, utilizing insurance policy details, claim history, and payment account information.

■ Claims filed through insurer apps are not linked to Silson24

Note that claims filed through an insurance company's app are not linked to Silson24. Claims submitted directly to an insurer cannot be checked on Silson24. Therefore, even if you claimed insurance benefits through an insurer's app for the same illness and then received additional treatment, you must select a new claim if you are using Silson24 for the first time. It is advisable to first check whether there is a prior claim history through Silson24, along with whether additional treatment was received.

■ Check progress on your insurer's website or app

After the documents are transmitted, the claim's progress can be checked on the website or app of the insurer you are enrolled with. The receipt, review, and payment status of claims submitted through Silson24 can be checked through the respective insurer. If the claim history is not visible on the insurer's website or app, you should contact your insurer directly.

Since the completion of document transmission through Silson24 does not mean the insurance payment is complete, each stage of progress needs to be checked separately. In addition, Silson24 does not operate on Sundays and public holidays.

[This article was written with AI assistance based on the provided guidance. Actual insurance payment eligibility and amounts may vary depending on the insurance policy and the insurer's review results. Before filing a claim, you should check the latest guidance from Silson24 and your insurer.]