For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person’s discharge from Hospital:
(a) The Policy Number;
(b) Name of the Policyholder;
(c) Name and address of the Insured Person in respect of whom the request is being made;
(d) Nature of Illness or Injury and the treatment/surgery taken;
(e) Name and address of the attending Medical Practitioner;
(f) Hospital where treatment/surgery was taken;
(g) Date of Admission and date of discharge;
(h) Any other information that may be relevant to the Illness/ Injury/ Hospitalization. If the Claim is not notified to Us within 30 days of the Insured Person’s discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control. Kindly note that Company may de-list few of the hospitals and the Company shall not service any claims including re-imbursement claims for the treatment undertaken at these hospitals other than in case of a medical Emergency. List of de-listed hospitals would be available on our website and is subject to updates from time to time.
For Reimbursement Claims. For all claims for which Cashless Facility have not been pre-authorized or for which treatment has not been taken at a Network Provider, We shall be informed of the claim along with the following details within 48 hours of admission to the Hospital or before discharge from the Hospital, whichever is earlier:
i. The Policy Number;
ii. Name of the Policyholder;
iii. Name and address of the Insured Person in respect of whom the request is being made;
iv. Nature of Illness or Injury and the treatment/Surgery taken;
v. Name and address of the attending Medical Practitioner;
vi. Hospital where treatment/Surgery was taken;
vii. Date of admission and date of discharge;
viii. Any other information that may be relevant to the Illness/ Injury/ Hospitalization.
For Reimbursement Claims. (i) For all claims for which Cashless Facilities have not been pre-authorised or for which treatment has not been taken at a Network Provider, We shall be given written notice of the claim along with the following details within 48 hours of admission to the Hospital or before discharge from the Hospital, whichever is earlier:
(1) The Policy number;
(2) Name of the Policyholder/Employer;
(3) Name and address of the Insured Person/Employee/member in respect of whom the request is being made;
(4) Health Card, photo ID, KYC documents;
(5) Nature of Illness or Injury and the treatment/Surgery taken;
(6) Name and address of the attending Medical Practitioner;
(7) Hospital where treatment/Surgery was taken;
(8) Date of admission and date of discharge;
(9) Any other information that may be relevant to the Illness/ Injury/ Hospitalization;
(10) Xxxx completed claim form.
(ii) If the claim is not notified to Us within the earlier of 48 hours of the Insured Person’s admission to the Hospital or before the Insured Person’s discharge from the Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant’s control.
For Reimbursement Claims. We shall be given written notice of the Claim for reimbursement along with the following details at least within 30 days of the Insured Person's discharge from Hospital:
(a) The Policy Number;
(b) Name of the Policyholder;
(c) Name and address of the Insured Person in respect of whom the request is being made;
(d) Nature of Illness or Injury and the treatment/surgery taken;
(e) Name and address of the attending Medical Practitioner;
(f) Hospital where treatment/surgery was taken;
(g) Date of Admission and date of discharge;
(h) Any other information that may be relevant to the Illness/ Injury/ Hospitalisation. If the Claim is not notified to Us within 30 days of the Insured Person's discharge from Hospital, then We shall be provided the reasons for the delay in writing. We will condone such delay on merits where the delay has been proved to be for reasons beyond the claimant's control.
For Reimbursement Claims. For all claims for which Cashless Facility have not been pre-authorized or for which treatment has not been taken at a Network Provider, the Company shall be informed of the claim along with the following details within 48 hours of admission to the Hospital or before discharge from the Hospital, whichever is earlier:
i. The Policy / Certificate number ii. Name of the Policyholder;
