Claim Process - United India Insurance

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

How to intimate health claim with United India Insurance

Planned Treatment - At least 48 Hrs prior to hospitalization
Emergency Treatment - Within 24 Hrs of hospitalization
E-Mail
customercare@uiic.co.in or TPA email id
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
  • ID card no
  • Name of insured person
  • Nature of disease / illness / injury and Name and Address of the attending medical practitioner / Hospital/Nursing Home etc
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 within 7 days of discharge

 

The claim file has to be submitted at the below mentioned addresses within 7 days of discharge
Courier Address
TPA mailing address or issuance branch office




List of Documents

  • Claim Form duly signed
  • Original Pre-authorization request
  • Copy of the Pre-authorization approval letter
  • Copy of photo ID card of patient verified by hospital
  • Hospital discharge summary
  • Operation Theatre Notes
  • Hospital main bill
  • Hospital break-up bill
  • Investigation reports
  • CT/ MRI/ USG/ HPE/ Investigation reports
  • Doctor's referance slip
  • ECG
  • Pharmacy bills
  • MLC report & Police FIR
  • Original death summary from hospital, where applicable

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
United India 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.
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