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Claim Process – Bajaj Allianz Health Insurance Company Limited

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4 Quick Ways to Initiate Your Claim

  • Insure claim process
    Submit Online
  • Insurer Support

    Toll Free - 18002095858

    Email - customercare@bajajallianz.co.in

  • Submit at Nearest Branch
    Branch locator
  • Request Assistance
    Submit

Details Necessary to Intimate or Register Claim

To Register claim by calling/FAX on above contact point, you will need to provide the following information to the customer support executive:-

  • Caller / Intimator Name
  • Caller contact number
  • Relationship with Patient
  • Attenders Mobile number
  • Email address
  • Policy number
  • Main Member Name
  • Insured Patient Name
  • Reason for admission
  • Hospital admission date
  • Hospital Type: Network/Non network
  • State

A reference number is provided after the claim is successfully registered, and it should be used in all future emails / forms / correspondence.

Once a claim is registered for repair work after an accident, the surveyor appointed by the company will inspect the car and estimate the cost of repairs. Once the claim is approved, the repairs are done and car returned to you after it is found road worthy.

  • Emergency Cashless
  • Planned Cashless
  • Reimbursement

Points to Remember

  • Cashless is available only in network hospitals of Insurer.
  • Dully filled pre-authorization form is to be submitted along with copy of cards/policy.
  • Insurer approves part of expected expenses known as Initial approval.
  • During discharge, on submission of final bill, Insurer approves final amount.
  • Care should be taken to reply to any query, if raised during the process. Unreasonable & Non medical expenses are not payable.
Download Claim Form

List of Documents

Mandatory Documents

  • Copy of id card/Policy copy
  • Duly filled pre-auth form
  • KYC of insured
  • 1st consultation letter/Investigation reports (If Any)

Points to Remember

  • Cashless is available only in network hospital of Insurer.
  • Insurer should be approached well on advance, minimum 48 hrs prior to hospitalization.
  • Dully filled pre-authorization form is to be submitted along with its consultation letter.
  • Insurer approves part of expected expenses known as Initial approval. During discharge, on submission of final bill, Insurer approves final amount.
  • Care should be taken to reply to any query, if raised during the process. Unreasonable & Non medical expenses are not payable.

List of Documents

Mandatory Documents

  • Copy of id card/Policy copy
  • Duly filled pre-auth form
  • KYC of insured
  • 1st consultation letter/Investigation reports (If Any)

Points to Remember

  • Every claim should be intimated & should be submitted within time, as non adherence can lead to delay in claim settlement.
  • The claim is decisioned only when all required & necessary documents are submitted.
  • NEFT & KYC details should be updated with the Insurer for easier & faster claim settlement.
  • Pre hospitalization expenses may be claimed along with main hospitalization expenses.
  • Unreasonable & Non medical expenses are not payable.
    • The claim file has to be submitted at the below mentioned addresses within 15 days of discharge

List of Documents

List of claim submission documents are as below

  • Cancelled Cheque
  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Original bills, receipts and discharge certificate/ card from the hospital.
  • Original bills from chemists supported by proper prescription.
  • Receipt and investigation test reports from a pathologist supported by the note from attending medical practitioner/ surgeon prescribing the test.
  • Nature of operation performed and surgeon's bill and receipt.
  • Self-declaration/MLC/FIR in case of accident cases.
  • Treating doctor's certificate.
  • If less than 15, BED to provide hospital registration certificate.

Garage List Required