Policyholders of indemnity health insurance (silson insurance) who use hospitals and pharmacies linked to Silson24 can file insurance claims through the app or website. However, there are a number of things to check before filing, from confirming whether the institution is linked, to transmitting electronic documents, and the subsequent review by the insurance company.

■ Check linked hospitals and pharmacies first Before filing a claim, you must confirm whether the hospital or pharmacy you used is linked to Silson24. Clinics and pharmacies are also subject to the computerized claims system, but actual availability depends on the linkage status of each institution. You can check linkage status by searching for institutions eligible for electronic claims on Silson24, or by searching 'Silson24' on Naver Map or Kakao Map.

■ Claim procedure, from login to submission The process begins with logging in or identity verification. Look up your enrolled insurance contracts, select the contract to claim, and choose the hospital where you received treatment along with the date and details of care. Then, fill out the claim form, verify the details, and submit it to complete the claim procedure.

■ Electronically transmitted documents and additional documents Claim documents transmitted electronically through Silson24 do not require users to separately obtain and submit paper copies. Documents subject to electronic transmission include medical fee statements and receipts, detailed medical fee statements, prescriptions, and pharmacy receipts.

However, if additional documents are needed to verify the diagnosis name or hospitalization period, they must be prepared according to the insurance company's instructions. Using the electronic claims system does not exempt you from submitting all review documents.

■ Review and payment after filing are handled by the insurance company After a claim is filed, the review and payment of insurance benefits are carried out by the insurance company. The insurance company reviews the submitted materials and, if necessary, conducts additional investigations or requests further documents before notifying the result. Therefore, completing a claim through Silson24 does not mean the payment of insurance benefits is confirmed. Policyholders should check whether the claim has been received, whether additional documents have been requested, and the final outcome.

[This article is an informational piece written with AI assistance based on officially released materials. Service availability, required documents, and whether or not insurance benefits are paid and in what amounts may vary depending on the medical institution's linkage status, the terms and conditions of the enrolled product, and the insurance company's review. Be sure to confirm the latest guidance before filing an actual claim.]