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Health Insurance

Process of Claim

Claim Process

ManipalCigna Health Insurance

Instant Help With Emergency Claim

For any emergency claim call us on 8659986599

Steps

Navigating Claims Made Simple: Your Guide to a Hassle-Free Process.

  1. Intimation
  2. Availing Treatment
  3. Submission of Claim File

Intimate claim process

How to intimate health claim with ManipalCigna Health Insurance

E-Mail
customercare@manipalcigna.com
Claim Helpline
1800-102-4462
Click Here
Register Claim Online
Click Here
Planned Treatment - At least 48 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization

Details required for Registration/ Intimation of Claim

To Register claim by calling/FAX on above contact point, you will need to provide the following information to the customer support executive:-
  • Policy Number
  • Name of the Policyholder
  • Name of the Insured Person in whose relation the Claim is being lodged
  • Nature of Illness / Injury
  • Name and address of the attending Medical Practitioner & Hospital
  • Date of Admission
  • Approximate Claim Amount
  • Any other information as requested by Insurer

Types of Claims

How to intimate health claim with Bajaj Allianz General Insurance

Points to Remember

  •  Every claim should be intimated &should be be submitted within time, as non adherence can lead to delay in claim settlement.
  •  The claim is decisioned only when all required & necessary documents are submitted.
  • NEFT & KYC details should be updated with the Insurer for easier & faster claim settlement.
  • Pre hospitalization expenses may be claimed along with main hospitalization expenses.
  •  Unreasonable & Non medical expenses are not payable.
  •  Every claim should be intimated &should be be submitted within time, as non adherence can lead to delay in claim settlement.
  •  The claim is decisioned only when all required & necessary documents are submitted.
  • NEFT & KYC details should be updated with the Insurer for easier & faster claim settlement.
  • Pre hospitalization expenses may be claimed along with main hospitalization expenses.
  •  Unreasonable & Non medical expenses are not payable.

 

The claim file has to be submitted at the below mentioned addresses within 15 days of discharge.

 
The claim file has to be submitted at the below mentioned addresses within 15 days of discharge.
List of Documents

  • Policy Copy
  • Bank Detalis - Cancelled Cheque/Bank Passbook Copy
  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Copy of Photo ID of Patient Verified by the Hospital
  • Original Discharge/Death Summary
  • Operation Theatre Notes(if any)
  • Original Hospital Main Bill and break up Bill
  • Original Final Bill Deposit Receipt
  • Original Investigation Reports, X Ray, MRI, CTFilms, HPE
  • Doctors Reference Slips for Investigations/Pharmacy
  • Original Pharmacy Bills
  • MLC/FIR Report/Post Mortem Report (if any)
  • In Case of Accident X-ray plates are Necessary to Explain an Injuiry
  • Indoor Case Papers (IPD)
Registered Address
Manipal Cigna Health Insurance Company Limited, 401/402,Raheja Titanium, Western Express Highway, Goregaon (East), Mumbai 400063.

Process of claim

1
The treatment is to be intimated within prescribed timelines.
2
Post completion of treatment, documents are to be collected from hospital during discharge.
3
The claim file is to be prepared with reference to check list. (The claim form part B is to be filled by hospital)
4
Post receiving of all required info, the claim will be processed within 30 days.
5
ManipalCigna will inform about any deficiency within 7 days.
6
Duly filled claim forms along with all necessary documents are to be submitted within prescribed timelines.
7
If the claim is approved, amount will be transferred within 30 days.
8
If the claim is rejected, letter with details are to be shared with Insured.
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