What is the process of Reimbursement Claim?

In a rare scenario, if the cashless claim is not approved or the hospital is not a part of network hospitals, you’ll have to pay the medical bills at the time of hospitalization. The insurer will later reimburse you for the medical bills.

Steps for the Reimbursement Claim Process are given below:

Step 1: Verify the Details - Before signing on the bill, verify whether the details are accurate. This is critical as any discrepancy over here could impact the claim process.

Step 2: Collect the documents - Here is a comprehensive list of the documents that may be required. Please click on Reimbursement Claim Documents to find the list of documents.

Step 3: Follow up for documents: Some of the above documents may not be available immediately, and you might have to go back after a few days to collect them

Step 4: Submit the documents: As soon as you are discharged, you can submit all these documents to the insurer or the designated TPA, depending on your insurer’s process

Step 5: Wait for Payment Processing: Once the documents reach the TPA or the insurer they will be reviewed. It takes about 21 days from the time the documents are reached the TPA to the date of processing the payment.

Learn More.. Cashless hospitalization, Network Hospitals