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Health Insurance

Process of Claim

Claim Process

Reliance 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 Reliance General Insurance

E-Mail
rcarehealth@relianceada.com
Claim Helpline
1800-3009/022 48903009
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Register Claim Online
Click Here
WhatsApp Insurer
7400422200
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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 and Hospital
  • Date of Admission
  • Any other information as requested by the Company
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

  • Every claim should be intimated & file should 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 & file should 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

List of claim submission documents are as below

  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Doctor’s first prescription (with commencement date of the symptom of disease)
  • Treatment papers (along with doctors prescriptions)
  • Investigation reports (X-ray/Scan/ECG, Laboratory etc)
  • Original medical bills and receipts(from hospital, doctors, medical shops or diagnostic centre, all supported by doctor's advice)
  • Original hospital discharge card
  • Copy of FIR (in case of accident)
  • Cancelled Cheque – CTS 2010 format (Printed account number, IFSC code and Printed name of insured). In case, insured’s name is not printed on the canceled cheque, provide scanned copy of 1st page of passbook or bank statement.
  • Photocopy of identification card of patient & PAN card of insured
  • Copy of Health card
Registered Address
Reliance General Insurance Co. Ltd.3rd Floor,Krishe Block,Krishe Saphire,High Tech City Main Road Madhapur, Hyderabad-500081,Andhra Pradesh

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
Reliance 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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