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Health Insurance

Process of Claim

Claim Process

Oriental 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 Oriental Insurance

E-Mail
csd@orientalinsurance.co.in
Claim Helpline
1800118485 Or 011- 33208485
Register Claim Online
Click Here
WhatsApp Insurer
9560711200
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 on above contact point, you will need to provide the following information to the customer support executive:-
  • Policy Number
  • ID card no
  • Name of insured person
  • Nature of disease / illness / injury and Name and Address of the attending medical practitioner / Hospital/Nursing Home etc
  • 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

  •  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 7 days of discharge

 
The claim file has to be submitted at the below mentioned addresses within 7 days of discharge
List of Documents

  • Filled Claim Form Par A & B
  • KYC Documents
  • Bank Details - Cancelled Cheque or Passbook Copy
  • Original bills, receipts and discharge certificate / card from the hospital.
  • Medical history of the patient recorded by the Hospital.
  • Original Cash-memo from the hospital (s) / chemist (s) supported by proper prescription.Original receipt, pathological and other test reports from a pathologist / radiologist including film etc supported by the note from attending medical practitioner / surgeon demanding such tests.
  • Attending Consultants’ / Anesthetists’ / Specialists’ certificates regarding diagnosis and bill / receipts etc. in original.
  • Surgeons’ original certificate stating diagnosis and nature of operation performed along with bills / receipts etc
  • Indoor Case Papers
  • In Case of Implant Treatments Tax Invoice is Necessary
  • Any other information required by TPA / the Company
  • TPA such additional information and assistance as the Company / TPA may require in dealing with the claim.
Registered Address
No 7, 4th Floor, Oriental House, J Tata Road Churchgate Mumbai, Maharashtra - 400020 India

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
Apollo 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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