Reliance Health Insurance Claim Settlement Ratio
Reliance General health insurance claim settlement ratio is consistent that makes it a
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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