HDFC ERGO Health Insurance Claim Settlement

A cashless claim is available in case treatment is done at network hospitals. HDFC Ergo has more than 10,000 hospitals in the network. The steps for cashless claim process are as follow:

• First of all, find an HDFC Ergo network hospital in a city where you want to get cashless treatment
• Intimate HDFC Ergo within 24 hours in emergency hospitalisation and 48 hours before admission in case of planned hospitalisation.
• While visiting the hospital, carry your Health Insurance cashless card issued by HDFC Ergo and one photo ID.
• Pre-authorization is done by the chosen network hospital. (Transfer of cashless request from network hospital to HDFC Ergo and coordination for authorization).
• HDFC Ergo/TPA scrutinizes all the documents and gives the final outlook on the claim.
• You will receive an update via SMS/e-mail on every phase of the claim on your registered email id or mobile number.
• The hospital sends the final bill to HDFC Ergo for authorization purpose.
• After scrutinizing the same, the insurer gives the final authorization (if the transactions are approved) to the hospital.
• The expense of any inadmissible expenses, co-payment, and deductions is to be borne by you.

How to Check HDFC ergo general insurance Health Insurance Policy Claim Status

You can check the status of your claim either online or offline.

Online Procedure

You can follow the below How to Check your claim status:

• Visit the official website of HDFC ergo general insurance and select the claim section.
• Afterwards, at the claim status portal of the insurance company, enter details such as policy number/ mobile number/ email id. Thereafter, you would receive OTP on your registered mobile number or email Id. Once you enter that, click on ‘Go’.You can track the status of your claim from the displayed web page.

Offline Procedure

If you are not able to check your claim status online, then simply call their customer care executive at +91 120 6234 6234. Alternatively, you can also visit the nearest branch of HDFC ergo general insurance company.