Robinhood Insurance Broker Private Limited

Claim Process - Reliance General Insurance

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

How to intimate health claim with Reliance General Insurance

Planned Treatment - At least 48 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization
E-Mail
rcarehealth@relianceada.com
Register Claim Online
Claim Helpline
1800-3009/022 48903009?
Nearest Branch

Details required for Registration/ Intimation of Claim

To Register claim by calling/FAX on above contact point, you will need to provide the following information to the customer support executive:-
  • Policy Number
  • Name of the Policyholder
  • Name of the Insured Person in whose relation the Claim is being lodged
  • Nature of Illness / Injury
  • Name and address of the attending Medical Practitioner and Hospital
  • Date of Admission
  • Any other information as requested by the Company
Once the claim is registered, the customer support executive will provide you with a Claim Reference/Intimation Number.

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.
Courier Address
Reliance General Insurance Co. Ltd.3rd Floor,Krishe Block,Krishe Saphire,High Tech City Main Road Madhapur, Hyderabad-500081,Andhra Pradesh




List of Documents

  • Copy of id card/Policy copy
  • Duly filled pre-auth form
  • KYC of insured
  • 1st consultation letter/Investigation reports (If Any)

Process of Claim

01
Find out whether hospital is in network (HYPERLINK)
02
Get in touch with TPA cell
03
Filled in Pre authorized form and policy details to be handed over to TPA cell
06
If a Query is raised, then it has to be replied and if satisfactory, initial approval is given
05
Details scrutinized by insurer
04
Details sent by TPA cell to Insurer.
07
During discharge, hospital TPA cell sends final bill with reports to Insurer
08
Insurer approves the final amount
09
Customer pays the difference of actual bill and approved amount(which are non approved expenses and take discharge
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