United India Health Insurance Claim Settlement Ratio, Process, Form

United India Health Insurance at a Glance:

To avail of cashless treatment facility, you can immediately inform the insurer about your hospitalization. For cases related to emergency hospitalization, you need to notify the insurer within 24-hours of getting admitted in the hospital
You can collect the claim form from the TPA or download it online
Fill the claim form and submit the signed claim form to the TPA along with all the documents within 15 days
In case of cashless health insurance claims, you should submit the pre-authorization cashless form to the hospital’s TPA department
If the submission of the pre-authorization form is done soon after the admission you don’t need to give intimation separately
To get reimbursement for your expenses, you should submit all the documents and forms within of discharge from the hospital

Cashless claims are only valid for policies that are serviced by a Third-party-administrator:

Check if the hospital where you are planning to avail of the treatment comes under the list of network hospitals. Cashless medical treatment can only be availed in the registered network hospitals
If it was a planned treatment, you can notify the TPA department in advance with all the details like the hospital name and address
If it is a medical emergency case you can immediately notify the TPA after your hospital admission
After taking admission to a hospital, you need to fill, sign and submit the pre-authorization form and send it to the hospital’s TPA
This form includes all the details related to your treatment, hospital admission, disease, and its cost estimation
Submit all the original documents to the TPA department and once all of it is done your claim amount will be settled at the hospital
If your claim request is not approved you can file for reimbursement

You can send a written notification about treatment to the hospital TPA or at the nearest insurer’s branch. For emergency hospitalizations inform the insurer immediately
After getting discharged, you can collect your medical investigation reports, discharge summary, and all the treatment-related documents from the hospital
Submit all the required documents in original at the TPA’s office within 7 days of hospital discharge
Collect and submit the final hospital bills, claim form, discharge summary, doctor's prescriptions, invoices, investigation reports, and pharmacy bills
Pre and post-hospitalization expenses can be also be claimed later. Do not forget to provide all the documents within 7-days of post-hospitalization treatment