Reliance Health Insurance Claim Settlement Ratio

Reliance Health Insurance Claim Settlement Ratio

Reliance General health insurance claim settlement ratio is consistent that makes it a great choice to buy health insurance online. Reliance General Health claim ratio is 100%, which showcases that the insurer is trustworthy and can settle all your claim requests quickly. Let’s check out more details about the Reliance health insurance claim settlement procedure.

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Claim Process of Reliance Health Insurance

While lodging a claim with Reliance General Insurance, make sure that you have the following details handy:

• Reliance medical insurance policy number
• Contact details of the claimant/insured (contact no., email id, address, etc.)
• Name of the person who is admitted into the hospital
• Relationship with the hospitalized person
• Hospital name
• In the case of health claims - Nature of the disease and the date of commencement of the symptoms
• In case of an accident- Nature of the  accident
• Time, date, and location of the accident

Reliance Health Insurance Cashless Claim Procedure

The process to avail the cashless treatment is as follows-

• Take admission in any of the Reliance registered hospitals
• Present your Reliance health card at the third party administrator helpdesk 
• Submit the duly filled claim form
• You also have to provide the  authorization form, health card, and a photo ID
• The hospital department will share your authorization form with the Reliance health team and based on the documents submitted you will get an approval 
• Sign and verify all the bills
• The hospital will keep the discharge summary and investigation reports ( in original) 
• Keep a photocopy of all the documents for your records

In case, your cashless claim is rejected you have to:

• Pay the bills from your own pocket 
• While getting discharged collect all the reports, bills, and documents ( original copies) 
• File your claim with the Reliance Health team or TPA to get  reimbursement of your expenses

Cashless Claim procedure in case of an emergency hospitalization

• Take admission into a network hospital 
• Collect the pre-authorization form, fill it and get it signed by the concerned doctor
• Email or fax the pre-authorization form to the insurance provider or TPA dept. 
• Also, submit all the essential documents, reports and 
• Keep a photocopy of the investigation reports and discharge summary 

Reliance Health Insurance Reimbursement Claim process in case of an emergency hospitalization

• Select the hospital and start with the treatment
• Immediately intimate the insurance provider at their helpline number
• Pay all the hospital bills from your own pocket
• Collect all the documents, bills, and reports before discharge ( original copies)
• Fill the claim form, provide all the documents and lodge your reimbursement claim request with the Reliance General health insurance

Reimbursement Claim process in case of a planned hospitalization

• Inform the insurance company about the planned hospitalization
• Get admitted into the hospital
• Pay all the hospital bills 
• Before discharge collect all the reports, bills, and documents ( in original)
• File a claim to get reimbursement for your medical expense incurred during hospitalization 

Documents Required for Reliance General Health Insurance Claims

Here is a checklist of the documents that you need to submit while filing a claim for Reliance health insurance plans under the specific situations-

Daycare Treatment/Hospitalization

• Claim form filled and duly signed by you
• Doctor’s prescription stating the onset of the symptoms
• Medical treatment papers
• Doctors’ prescription papers
• Diagnostic reports (like ECG, X-ray, etc.)
• Original receipts and medical bills 
• Ambulance bill/receipt
• Discharge card from the hospital ( original) 
• In accidental cases, a copy of FIR is required
• A cancelled cheque ( CTS 2010 format ) 
• A copy of Reliance Health card
• Xerox copy of PAN card/ID card

Domiciliary hospitalization

• Reliance medical insurance claim form ( duly filled & signed)
• The first prescription from the doctor (stating the date of the onset of the symptoms of the illness)
• Doctor’s prescription and healthcare treatment papers
• Medical Investigation Reports
• Receipts and Original medical bills 
• FIR report (in case of an accident)
• Certificate from the medical practitioner recommending the treatment at home
• Documents proof showing lack of accommodation in the nursing home/hospital
• PAN card
• ID card 
• A cancelled cheque

Critical Illness Claims

• Claim Form
• Doctor’s certificate with the diagnosis of the illness (stating the initial symptoms)
• Radiology reports, pathology reports, and other investigation reports 
• Original receipts and hospital bills and receipts
• Chemist bills
• Hospital admission and discharge card/ certificate
• Cancelled Cheque/1st page of passbook
• PAN card 
• Identification card

To know more about health claims you can call on our helpline number at 1800-208-8787. To write to us you can email us at care@policybazaar.com