Immediate intimation to
is must in case of Cashless
Hospitalization or Reimbursement Hospitalization
are two types of Claims - Cashless
Hospitalization and Reimbursement Hospitalization
Cashless Hospitalization Procedure
Cashless hospitalization can be availed at only
network hospitals. You can check whether a particular hospital is
on network or not. Refer the guide book provided along with
There are basic pre-requisite for the hospitalization
which needs to be completed against any Mediclaim policy
Hospitalization dates should fall within policy period.
Id Card should be presented at the
time of approaching any network hospital for cashless
In the event of hospitalization, hospital needs to submit Pre-authorization request with
treatment details ;Medsave
Card No., clinical history, past history
and estimated cost to the nearest,
issue the letter of guarantee of payment or
approval amount after checking policy period, policy type, sum
But if the patient details are not according to policy conditions
or incomplete information,
can reject the
cashless or raise query if any further information as per
Note - : 1 In case of delay in cashless the insured should immediately contact
2 In case the
treatment is taken at
non network hospital the insured can
send the claim or treatment documents
Immediate Intimation to
must in case of any hospitalization
When hospitalization treatment is availed in
network hospitals it is called Reimbursement
For Reimbursement hospitalization General intimation required..
First option Inform the call center at Toll Free
At time of claim intimation, the patient should provide :
Id Card Number or Policy Number
Approximate treatment cost
Second option, after completion of
Re-imbursement hospitalization the following documents are to be
Download the claimform from our website
or ask for the same from our corresponding branch office
All Original Bills/Cash
memo breakup with diagnostic reports
Original Discharge Summary
Policy copy if possible
Note : If the claim is cashless reimbursement
then all the bills should be signed by patient.
will validate your claim documents submitted by you
Orginal Bill are verified with standard tariff
Bill checking by software whether it is applicable or not.
Policy condition checking ie policy period, hospitalization date,
sum insured and past claim history.
File audit by special audit team.
If claim has query or rejected; the letter will be
sent to insured.
If you want to reopen the claim [query, approved or rejected]
please send the supported documents. We will process the
same after confirmation from the concerned insurance company.