HEALTH CLAIMS PROCESS
As soon as a claim occurs, please intimate to the TPA Help line/Toll free number as mentioned in your Health Card. For cashless hospital and more information kindly visit our TPA web site link mentioned below.
Our TPA will be glad to provide you services with a smile within the overall terms and conditions of your MEDICLAIM policy. Our TPA will provide you the following claims services:
- "Cashless Service" at all our Network Providers for all eligible ailments/conditions.
- Processing and settlement of claims under the MEDICLAIM policy with a time bound approach.
- 24 hours Call Centre Service.
Following information needs to be furnished by you while intimating a claim:
- Your Contact Numbers
- Policy Number and Membership ID number (as reflecting on the Health Card)
- Name of Insured person who is Sick or Injured,
- Nature of Sickness/Accident,
- Date & Time of Loss in case of accident, commencement date of symptom of disease in case of sickness,
- Location of Loss,
- Place & contact details of the Insured Person.
Claim Procedure:Claims are broadly of two types:
- Reimbursement Claims
- Cashless claims.
Claims under the above categories can be further of two types: Planned Hospitalization & Emergency hospitalization.