Claim Process – Religare Health Insurance Company Limited

  • 1
  • 2
  • 3
  • 1
  • 2
  • 3

4 Quick Ways to Initiate Your Claim

  • Insure Claim Process
    Submit Online
  • Insurer Support

    Toll Free - 1800-200-4488

    Email - customerfirst@religarehealthinsurance.com

  • 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:-

  • Policy Number.
  • Name of the Policy holder.
  • Name of the Insured in respect of whom the claim is being made.
  • Nature of illness or Injury.
  • Name and Address of the attending Medical Practitioner and Hospital.
  • Date of Admission to Hospital or proposed date of admission to hospital for Planned Hospitalization.
  • Any other Information, documentation or details requested by the company.

Once the claim is registered, the customer support executive will provide you with a Claim Reference/Intimation Number.

  • 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.

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

  • Claim form consist of two parts (Part A to be filled by Insured and Part B to be filled by Hospital).
  • Valid photo-id proof
  • Cancelled Cheque
  • Medical practitioner's referral letter advising Hospitalization
  • Medical practitioner's prescription advising drugs/diagnostic tests/consultation
  • Original bills, receipts and Discharge card from the Hospital/Medical Practitioner
  • Original bills from pharmacy/Chemists
  • Original pathological/diagnostic tests reports/radiology reports and payment receipts
  • Indoor case papers
  • First information Report, final police report, if applicable
  • Post mortem report, if conducted
  • Any other document as required by the company to assess the claim

Garage List Required