Star Health Insurance Claim Settlement
Star Health Insurance makes sure of a customer-friendly insurance claim process. It strives to make all settlements on time. The company has a dedicated claim settlement team that ensures that the claim settlement process remains simple and transparent, minimizing customer efforts. The first stand-alone health insurance company in India, Star Health lets you raise claims in two scenarios: cashless hospitalisation and reimbursement process.
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Claim Process for Cashless Treatment
A cashless claim can be availed only at network hospitals of Star Health. Star Health has a wide base of around 9,300+ network hospitals. The steps for the cashless claim process are as follows:
- First, find a Star Health network hospital in a city where you want cashless treatment.
- Intimate Star Health within 24 hours in emergency hospital
- action and 48 hours before admission in case of planned hospitalisation.
- While visiting a network hospital, carry your Star Health ID card and one photo ID proof.
- Fill out 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 Star Health.
- Once the insurer reviews the documents, it sends an approval letter to the hospital.
- Thus, you can proceed with the cashless treatment at the hospital.
- If a cashless claim is denied, then the insured can file for a reimbursement claim after discharge.
How to Check Star Health Insurance Policy Claim Status
The policyholder can check their claim settlement status either online or offline. Given below are the steps:
Online Process
If a policyholder has recently submitted a claim request for their policy, they can check their claim status by visiting Star Health Insurance's official website and choosing the ‘Claim Status’ tab.
Then, on the page enter details such as the Intimation number, and ID card number. Click on ‘Get Claim Status’.Offline Process
In case a policyholder is not able to check it online, they can contact the claims helpdesk number on 1800 425 2255 (Toll-Free Number) or they can also visit the nearest branch of Star Health Insurance company and ask the customer representative. Representatives will ask for the intimation number and ID card number. Once the policyholder has submitted the same, their claim status will be shared with them in a few minutes.
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Reimbursement Treatment
Reimbursement claim can be filed in both network and non-network hospitals. The steps for the reimbursement process is as follows:
- Intimate Star Health within 24 hours of hospitalisation.
- A field doctor is assigned by Star Health to make hospitalisation easier.
- At the time of discharge, settle all hospital bills and collect all original documents such as discharge reports, prescription copies, medical bills, hospital bills, etc.
- Submit duly-filled reimbursement claim form along with all the original medical documents at the nearest Star Health office within 30 days after getting discharged.
- Upon successful verification and approval, the claim amount is credited to the insured member’s account.
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Documents Needed
Here is a list of documents required for filing a reimbursement claim for star health insurance.
- Original investigation reports
- Final hospital discharge summary
- FIR or post-mortem report it 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
For any claim-related queries, you can call the toll-free number of InsuranceDekho 755-119-6989.
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Incurred Claim Ratio (ICR) of Star Health Insurance
The Incurred Claim Ratio (ICR) of Star Health is a strong indicator of its overall good performance and gives people an overview as to what they can expect. The Incurred Star Health Insurance Claim Settlement Ratio for the FY 2022 is 89.90%. It clearly indicates that Star Health is making profits and is in a position to clear claims without having to overburden its finances.
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FAQs
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What are the different types of claims settlements offered by Star Health Insurance?
Star Health Insurance offers reimbursement and cashless claims to their policyholder. A few rules may be applied while filing for a claim that differs in the type of claim you choose.
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How long does it take for Star Health Insurance to settle a claim?
Star Health settles the cashless claims within 24 hours of the insured filing for it and 15 days for a reimbursement claim.
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Can the status of my claim be tracked online?
Yes, you can track the status of your claim on the official website of Star Health Insurance. A few steps have to be taken to check the status of the claim made.
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What documents are required while filing for a claim?
The documents required for cashless and reimbursement claims can vary. However, the documents required for both reimbursement and cashless claims are a health card, discharge summary, pharmacy invoice with prescription, doctor’s consultation sheets, investigation reports, KYC documents, medico-legal certificate, and FIR copy in the case of an accident case, etc.
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What to do if Star Health Insurance denies or delays my claim?
The InsuranceDekho advisor helps the customer sort out any problems faced during the rejection or denial of a claim made.