Claim Process - Bharti AXA General Insurance

  1. Intimation
  2. Availing Treatment
  3. Compilation /  Submission of Claim File

How to intimate health claim with Bharti AXA General Insurance

Planned Treatment - At least 48 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization
E-Mail
claims@bharti-axagi.co.in or TPA
Claim Helpline
080-49123900
Nearest Branch

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
  • Name of the Insured/Covered person
  • Contact details
  • Nature of the disease, illness or injury
  • Name and address of the attending medical practitioner/hospital
Once the claim is registered, the customer support executive will provide you with a Claim Reference/Intimation Number.

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.

 

 The claim file has to be submitted at the below mentioned addresses.
Courier Address
Bharti AXA General Insurance Co. Ltd any nearest branch. OR TPA- Paramount and Emeditek any nearest branch.




List of Documents

  • Claim form with duly signed by insured (Part I) and treating doctor (Part II)
  • Original discharge summary
  • Original final bill with receipt & detailed break up towards the final bill (item wise/cost wise)
  •  Original lab reports with advice for investigation undergone from the treating doctor (Doctor Prescription/Consultation)
  • A letter from treating consultant stating past history if any with duration of the said ailment
  • A letter from the treating consultant stating details of accident and initial assessment- alcohol intoxication if any, (if the case of injury or accident) with  MLC COPY / FIR copy in case of RTA/any injury/assault/poisoning etc.
  • 1st consultation paper before the admission, if any
  •  Hospital registration certificate if the hospital is in non-network/remote location
  • A letter from insured stating reason for delay in submission of claim documents. (If delay more than 30 days after the discharge)
  •  Policy copy/Health ID card/ Health TPA ID card with ID proof & Address proof for patient & proposer
  •  Cancelled cheque for Electronic fund transfer in the name of proposer

Process of Claim

01
The treatment is to be intimated within prescribed timelines.
02
Post completion of treatment, documents are to be collected from hospital during discharge.
03
The claim file is to be prepared with reference to check list. (The claim form part B is to be filled by hospital)
06
Post receiving of all required info, the claim will be processed within 30 days.
05
Bharti Axa will inform about any deficiency within 7 days.
04
Duly filled claim forms along with all necessary documents are to be submitted within prescribed timelines.
07
If the claim is approved, amount will be transferred within 30 days.
08
If the claim is rejected, letter with details are to be shared with Insured.
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