New India Assurance Health Insurance Claim Settlement

The insured person can file for a reimbursement claim if his/her request for the cashless claim has been rejected. Given below are the steps to follow for claim settlement:  

• Collect the original medical documents at the time of discharge from the hospital
• Download the Claim Form from the insurer's site or get it from the insurer's office
• Submit these documents and a duly filled and signed Claim Form to the insurer's office
• The claim will be denied or approved depending on the terms and conditions of the policy 

The insured person is required to submit the following claim-related documents within 7 days from the date of discharge from the hospital:

• Receipt, Bill, and Discharge certificate or card from the hospital
• Cash Memos from the Hospital(s), Chemist(s), along with proper prescriptions
• Pathological test reports and receipt from the Pathologist along with the note from the attending Medical Practitioner or Surgeon recommending such pathological tests
• A Surgeon's certificate stating the nature of the operation performed and a surgeon's bill and receipt 
• Attending Doctor's, Consultant, Specialist's, or Anesthetist's bill and receipt, and certificate for diagnosis  

The Incurred Claim Ratio (ICR) is the ratio of claims incurred by the insurer to the actual premium collected during that period. It is a trusted way that gives you an idea of how much to believe in a particular health insurance company. It reveals the pace of claim procedure and the productivity of a health insurance company in terms of revenue. The New India Assurance Health Insurance Claim Settlement Ratio for FY 2018-19 is 103.19%.