Reliance Health Insurance Claim Settlement Ratio

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      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

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      • 50,000 claims approved in last 15 months*
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      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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