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Health Insurance

Process of Claim

Claim Process

Star 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 Star Health Insurance

E-Mail
support@starhealth.in
Claim Helpline
1800 425 2255/1800 102 4477
Click Here
Register Claim Online
Click Here
WhatsApp Insurer
95976 52225
Click Here
Planned Treatment - At least 24 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs 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:-
  • Caller / Intimator Name
  • Caller contact number
  • Relationship with Patient
  • Attenders Mobile number
  • Email address
  • Policy number
  • Main Member Name
  • Insured Patient Name
  • Reason for admission
  • Hospital admission date
  • Hospital Type: Network/Non network
  • State
  • Hospital Name and Pincode
  • Date of Discharge
  • Intimate Claim within 24 hours of Admission

Types of Claims

How to intimate health claim with Bajaj Allianz General Insurance

Points to Remember

  • Every claim should be intimated & 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 & 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

  • KYC Documents
  • Bank Details - Cancelled Cheque or Passbook Copy
  • Policy Copy
  • Indoor Case Papers
  • In Case of Implant Treatments Tax Invoice is Necessary
  • In Case of an Accident X-ray/MRI Films are Necessary
  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Original bills, receipts and discharge certificate/ card from the hospital.
  • Original bills from chemists supported by proper prescription.
  • Receipt and investigation test reports from a pathologist supported by the note from attending medical practitioner/ surgeon prescribing the test.
  • Nature of operation performed and surgeon's bill and receipt.
  • Self-declaration/MLC/FIR in case of accident cases.
  • Treating doctor's certificate.
  • If less than 15, BED to provide hospital registration certificate.
Registered Address
Star Health & Allied Insurance Co. Ltd, No.1, New Tank Street, Valluvarkottam High Road, Nungambakkam, Chennai - 600034

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
Star Health 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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