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Health Insurance

Process of Claim

Claim Process

Bajaj Allianz 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 Timeline
  2.  Availing Treatment
  3.  Submission of Claim File

Intimate claim process

How to intimate health claim with Bajaj Allianz General Insurance

E-Mail
bagichelp@bajajallianz.co.in
Claim Helpline
1800-103-2529
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 on above contact point, you will need to provide the following information to the customer support executive:-
  • Insured/Proposer name
  • Claimant Name 
  • Policy number       
  • Hospital Name/Address
  • Treatment Name
  • Caller Contact name
  • Date of Admission
  • 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 & 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 30 days of discharge.

 
The claim file has to be submitted at the below mentioned addresses within 30 days of discharge.
List of Documents

  • KYC Documents 
  • Policy Copy
  • Bank Details - Cancelled Cheque or Passbook Copy
  • First Consultation letter from the Doctor
  • All Prescriptions or Consultation Papers on Behalf of Medicine Bills and other Bills
  • Duly completed claim form and NEFT Form signed by the Claimant
  • Original Hospital Discharge Card
  • Original Hospital Bill giving detailed break up of all expense heads mentioned in the bill. Clear break ups have to be mentioned for OT Charges, Doctor’s Consultation and Visit Charges, OT Consumables, Transfusions, Room Rent, etc.
  • Original Money Receipt, duly signed with a Revenue Stamp
  • All original Laboratory and Diagnostic Test Reports. E.g. X-Ray, E.C.G, USG, MRI Scan, Haemogram etc.
  • In case of a Cataract Operation, IOL Sticker will have to be enclosed
  • Other documents as may be required by Bajaj Allianz to process the claim 
Registered Address
Bajaj Allianz General Insurance Company Co. Ltd., Rustomjee Aspire, 3rd Floor, Everad Nagar-2, Next to "Apex Honda Showroom", Off Eastern Exp. Highway, Near Priyadarshini Circle, Chunabhatti, Sion, Mumbai - 400022

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
Bajaj Allianz 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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