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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Reliance Health Insurance Claim Settlement Ratio

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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

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