Reliance Health Insurance Claim Settlement

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Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio72.20%
COVID-19 CoverYes
Network Hospitals7,300+
Policies Sold91,492
RenewabilityLifelong

Claim Settlement of Reliance Health Insurance

Getting health insurance claims settled at Reliance General Health Insurance is not at all complicated.  Reliance is acclaimed for its quick and simple claim settlement procedures. Highly popular in countless sectors, Reliance has also earned a strong reputation in the field of health insurance. For the claim settlement, you can choose either the cashless treatment facility or go with the reimbursement method.

  • Claim Process for Cashless Treatment

    Cashless claim procedure can be availed in case you have got the treatment at network hospitals. Currently, Reliance General has more than 7,300 hospitals in the network. To get the cashless claim settled,

    • Before anything else, a find a Reliance network hospital in the city where you want to get cashless treatment
    • Intimate about the hospitalisation to your insurance company as soon as possible.
    • While visiting the hospital, carry the Reliance Health Insurance cashless card and one photo ID proof.
    • Show the Reliance Health Card and ID proof at TPA helpdesk.
    • Fill the pre-authorization request form available at the hospital and submit it to the hospital.
    • After your identity is checked, the network hospital sends the pre-authorization request form to the RCare Health or the TPA with required medical details.
    • Make sure the insured individual verifies and signs all the medical bills.
    • Leave the original discharge summary and other investigation reports with the hospital.
    • The medical bills if covered in the policy will be settled by Reliance.
    • The uncovered expenses will be borne by you.
  • Reimbursement Treatment

    This facility is applicable when the treatment is taken at a non-network hospital. However, you can also opt for the reimbursement claim at network hospitals by paying the hospital bills from your pocket. For the reimbursement claims:

    • Intimate the claim at RCare Health call center or email as soon as you get admitted into the hospital.
    • Pay the hospital bills as per the requirements.
    • During the time of discharge, collect all the original bills, documents as well as reports.
    • File your claim with RCare Health or TPA for processing and reimbursement.
    • The claim form should be complete with correct details and submitted to RCare for the reimbursement process.
    • If the claim complies with the regulations set by Reliance, you will get your reimbursement without any hassle.
  • Documents Needed

    Documents required to file a claim: 

    • Copy of Health Card
    • Original investigation reports
    • Final hospital discharge summary
    • FIR or post-mortem report if happened
    • Pharmacy bills along with the prescription
    • Original bills, receipts, and discharge report
    • Indoor case papers and duly-filled claim form
    • Original hospital bills and a valid photo ID proof
    • Treating doctor's report, and original consultation notes
    • Nature of operation performed and surgeon's bill and receipt
    • Test reports along with attending doctor’s or surgeon’s report
    • A copy of the identification card of the patient & PAN card of the insured individual
    • Canceled Cheque – CTS 2010 format or scanned copy of the 1st page of passbook or bank statement

     

  • Incurred Claim Ratio (ICR) of Reliance Health Insurance

    The Incurred Claims Ratio or ICR is an indication of how well a particular health insurance company is. With it, you can make an informed decision about a health insurance policy. The higher the ICR, the better. Currently, Reliance General’s ICR is 94%, which means the insurer is good to take a policy from. 

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Reliance Health Insurance Contact Details

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Claim Process at Reliance Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

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