Health Insurance

In a planned hospitalisation, a policyholder intimates insurers about the forthcoming claim. In emergency hospitalisation, claim intimation must be sent to the insurance company or TPA within 24 hours. While you choose to go for a cashless claim, first and foremost, remember your treatment should be at the network hospitals of your insurance company. If you’ve planned your hospitalisation, contact us and let us know your hospitalisation details so that we can inform your presence at the hospital to your insurer on your behalf. We connect you immediately with the right experts. You will have to fill a cashless claim request form and submit it to the insurance company via email, post or fax.

Some of the important documents are :

1. KYC

2. Claim Form

3. Doctor Prescription If you've submitted no documents or partial documents, you'll have to submit the required documents to process your claim ahead. Additional documents has to be provided by the insured during the process if in case required/asked by the insurer

An approval will be provided by the insurance company for the documents you've submited us.

At the time of hospitalisation you will have to show the ID card of the insured, which was provided by the insurance company, for the purpose of identification.

If the insurer is satisfied with the documents submitted by the customer, a final approval will be given by the insurer to proceed ahead with the claim.

Once the formalities are completed the insurance company will settle the bills with the hospital according to the terms and conditions.

If the information and documents provided by the customer is not satisfactory there could be chances for a claim to be rejected. Some of the common reasons for a claim to be rejected could be :

1) Customer tries to claim during waiting period, or for an ailment which is not included in the policy (example, Cosmetic surgery, OPD claims, or in case there is a permanent exclusion).

2. Customer is making a fraudulent claim.