Claim Process - Star Health Insurance

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

How to intimate health claim with Star Health Insurance

Planned Treatment - At least 24 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization
E-Mail
support@starhealth.in
Register Claim Online
Claim Helpline
1800-425-5522
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:-
  • Caller / Intimator Name
  • Caller contact number
  • Relationship with Patient
  • Attenders Mobile number
  • Email address
  • Policy number
  • Main Member Name
  • Insured Patient Name
  • Reason for admission
  • Hospital admission date
  • Hospital Type: Network/Non network
  • State

Points to Remember

  • Every claim should be intimated & 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 & 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 15 days of discharge

 

 

The claim file has to be submitted at the below mentioned addresses within 15 days of discharge
Courier Address
Star Health & Allied Insurance Co. Ltd, No.1, New Tank Street, Valluvarkottam High Road, Nungambakkam, Chennai - 600034




List of Documents

List of claim submission documents are as below

  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Original bills, receipts and discharge certificate/ card from the hospital.
  • Original bills from chemists supported by proper prescription.
  • Receipt and investigation test reports from a pathologist supported by the note from attending medical practitioner/ surgeon prescribing the test.
  • Nature of operation performed and surgeon's bill and receipt.
  • Self-declaration/MLC/FIR in case of accident cases.
  • Treating doctor's certificate.
  • If less than 15, BED to provide hospital registration certificate.

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
Star Health 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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