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
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

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