The Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012 prohibit charging insured patients for the insured portion of a health bill at the time of service (upfront payments), and set out the requirements and procedures for providers to make claims and receive reimbursement.
The Bermuda Health Council monitors and enforces compliance by health service providers and insurers with the Regulations.
Forms:
Health Insurance Claims Form
CR1- Application by Insurer Claims Regulations
This form is for use by insurers who wish to apply to vary time requirements to pay electronic health insurance claims per section 10 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.
CR2- Application by Provider Claims Regulations
This form is for use by health service providers who wish to apply for permission to require payment by an insured person of the insured portion of a procedure in accordance with section 5 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.
CR3- Application for Exemption Claims Regulations
This form is for use by health service providers who wish to apply for an exemption in accordance with section 15 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.