Robinhood Insurance Broker Private Limited

Claim Process - Royal Sundaram General Insurance

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

How to intimate health claim with Royal Sundaram General Insurance

Planned Treatment - At least 72 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization
E-Mail
customer.services@royalsundaram.in
Register Claim Online
Claim Helpline
1860-425-0000/1860-258-0000
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:-
  • Health card Membership number.
  • Policy number
  • Name of the Patient.
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
Royal Sundaram General Insurance Co. Limited Accident & Health Claims Department Vishranthi Melaram Towers No.2/319 , Rajiv Gandhi Salai(OMR) Karapakkam,Chennai - 600097




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
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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