Parties should attempt to resolve the disputes amongst themselves at first instance.
- For example, policyholders with clinical-related issues against the IP insurers’ decision to turn down their
claim, should show that they have not been able to resolve the dispute with the IP insurer before filing a
request with the CCRP.
- This is because all IP insurers have claims and complaints management capability that can deal with specific
issues from an individual’s purchased IP Plan
A 3-Incidents Trend Threshold will apply to applications from IP Insurers, doctors and medical institutions (within a 5-year period).
The Application request must be filed with CCRP within 6 months
after the IP insurer's final reply to the medical practitioner, medical institution or policyholder;
and the earlier two cases must occur within the last five (5) years.
The 3rd incident, i.e., the current ongoing unresolved dispute, will be the case being reviewed whilst the earlier two cases will serve as documentary proof.
Exemption: The 3-incident trend threshold will not apply to application requests from policyholders.