Health Insurance

Process of Claim

Claim Process

IFFCO Tokio General 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 IFFCO Tokio General Insurance

E-Mail
websupport@iffcotokio.co.in
Claim Helpline
1800-103-5499 / (0124) 428 5499
Click Here
Register Claim Online
Click Here
Planned Treatment - At least 72 Hrs prior to hospitalization
Emergency Treatment - As Soon possible of hospitalization

Details required for Registration/ Intimation of Claim

To Register claim by calling on above contact point, you will need to provide the following information to the customer support executive:-
  • Policy Number
  • Name of Policyholder
  • Name and Address of Insured person in respect of whom claim is made.
  • Nature of illness/injury and treatment/ Surgery required.
  • Name and address of attending Medical practitioner.
  • Hospital where treatment / surgery is proposed to be taken.
  • Proposed date of admission.
  • Date of Discharge
  • Approximate Claim Amount
Once the claim is registered, the customer support executive will provide you with a Claim Reference/Intimation Number.

Types of Claims

How to intimate health claim with Bajaj Allianz General Insurance

Points to Remember

  • Cashless is available only in network hospitals of Insurer.
  •  Dully filled pre-authorization form is to be submitted along with copy of cards/policy.
  •  Insurer approves part of expected expenses known as Initial approval.
  •  During discharge, on submission of final bill, Insurer approves final amount.
  •  Care should be taken to reply to any query, if raised during the process. Unreasonable & Non medical expenses are not payable.
  • Cashless is available only in network hospitals of Insurer.
  •  Dully filled pre-authorization form is to be submitted along with copy of cards/policy.
  •  Insurer approves part of expected expenses known as Initial approval.
  •  During discharge, on submission of final bill, Insurer approves final amount.
  •  Care should be taken to reply to any query, if raised during the process. Unreasonable & Non medical expenses are not payable.
List of Documents

  • Copy of id card/Policy copy
  • Duly filled pre-auth form
  • KYC of insured
  • 1st consultation letter/Investigation reports (If Any)
Registered Address
Claim documents may also be submitted to local IFFCO TOKIO Office address.

Process of claim

1
During discharge, hospital TPA cell sends final bill with reports to Insurer
2
Insurer approves the final amount
3
Customer pays the difference of actual bill and approved amount (which are non approved expenses) and take discharge
4
Filled in Pre authorized form and policy details to be handed over to TPA cell
5
Get in touch with TPA cell
6
Find out whether hospital is in network (https://www.iffcotokio.co.in/contact-us?tab=hospital))
7
Details sent by TPA cell to Insurer.
8
Details scrutinized by insurer
9
If a Query is raised, then it has to be replied and if satisfactory, initial approval is given
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