Aditya Birla Claim Process
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  • Claim Filing procedure
Aditya Birla Claim Process
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Aditya Birla Health Insurance Claim Process

The claim process in health insurance plan refers to the procedure that a policyholder must follow to request reimbursement or avail of a cashless claim for medical expenses covered under the health insurance policy. If the policyholder incurs any medical costs, they can file a claim with their insurance provider, to seek compensation. The company has made the entire procedure, from filling the claim to settling it, so simple that even an individual with little knowledge can submit a claim.

Every company has a different procedure for how a policyholder can file a claim, and Aditya Birla Health Insurance is no exception. The company has a claim settlement ratio of 99.41%(for three months), this high figure demonstrates their commitment to their customers and their active dedication to claim resolution.

Types of Aditya Birla Health Insurance Claim Process:

The company has designed two methods of filing the claims, according to the convenience of the customer. The methods are:

  • Cashless Claims: The expenses incurred can be settled directly between the insurance provider and the hospital.
  • Reimbursement Claims: The policyholder can pay the expenses upfront and later claim the bill from the insurance provider.

How To Claim Aditya Birla Health Insurance Policy: Cashless Claims

It is a straightforward, three-step process you can complete while at your home. The company offers online platforms such as the official website and mobile application, where customers can submit their claims. Although Let’s go through each step, one at a time:

  • Claim Intimation: Here the policyholder has to inform the company about the claim.

    Step 1: Visit the official website of the Aditya Birla Health Insurance Company.

    Step 2: Select ’Claims’, from the main menu options at the top of the page.

    Step 3: In the drop-down menu select the type of claims, you wish to submit. Choose either ’Cashless Claims’.

    Step 4: Click on the ’Cashless Claims’. This will take you to the page where the company will ask whether you have to ’Track Claim’ or ’Raise Claim’. For raising the claim click on ’Raise Claim’.

    Step 5: Now, the company will ask the customer to login in the company’s account. Enter your registered ’Mobile number’ for OTP login or ’Username’ and ’Password’. And then hit ’Login’. This will take you to your dashboard. Now enter the details of your expenses, the name of the hospital, and the treatment availed.

  • Document Submission:
    • The policyholder has to now provide all the relevant documents that support the claims. Submit all the required documents along with the claim form.
    • The policyholder can scan and submit the documents online.
  • Claim Settled:
    • The insurance company will cross-check all the claims and the documents provided by the insured.
    • After verification of the documents, the company will transfer the amount directly to the hospital’s bank account.

How To Claim Aditya Birla Health Insurance Policy: Reimbursement Claims:

Aditya Birla Health Insurance reimbursement claims are very similar to cashless claims, with the exception that the company may ask for some additional documents such as the original hospital bill, KYC Documents, and proof of payment. Let’s go through the process one by one:

  • Claim Initiation: Informing The Company

    Step 1: Visit the official website of the company.

    Step 2: Now, locate the ’Claims’ option in the top menu of the webpage. From the drop-down menu select ’Reimbursement Claims’.

    Step 3: This will lead to a page where you have to choose ’Raise a claim’ or ’Track Claim’. For filling a claim select ’Raise a claim’.

    Step 4: In the next step, the company will ask the customer to login into the company’s user dashboard. Either login by entering the mobile number and receive an OTP or enter the ’User Name’ and ’Password’.

  • Submit Essential Documents:
    • Here the customer has to submit essential documents, to substantiate his/her claim.
    • Scan and attach the documents to the website.
  • Settlement Of The Claim:
    • The insurance provider will go through the documents and verify the authenticity of the document.
    • After all the verification the amount will be transferred to the policyholder’s bank account.

Sign Up For Aditya Birla Health Insurance User’s Account:

For having your dashboard on the company’s account the policyholder must have a ’ONE ID’ number. If you are not an existing user, here are a few steps you can customers can follow to create a user account.

Step 1: Visit the official website of the company.

Step 2: Click on the ’Login’ option on the top right corner of the page.

Step 3: This will take you to the next page, there select the option ’Create One Id with a Product You Own’.

Step 4: Next, under ’Solution you own to create your One Id’, select the option ’Health Insurance’.

Step 5: This will take you to the next page where you have to enter ’Member Id’, and click ’Register’.

Note: Member ID is the 12-digit number that is sent in the welcoming email, in the Policy Kit, or E-Card.

Things to Keep In Mind

For a smooth claim filing process, keep the following points in mind.

For Cashless Claims:

  • Inform the company 72 hours before the case of planned hospitalization.
  • In case of emergency hospitalization, inform the company within 24 hours of hospitalization.

For Reimbursement Claims:

  • Inform the company about the claim within 30 days of discharge from the hospital.
  • The company may request additional documents if the policyholder is receiving the treatment in a non-network hospital.
  • Aditya Birla Health Insurance Company will transfer your compensation within 15 days, after the complete verification of the documents.
  • The insurance provider will ask for KYC documents, prescriptions, payment proof, discharge summaries, and original medical bills.

Conclusion:

Aditya Birla Health Insurance Claim Process is simple and easy to follow. Keep the documents available so that you may not run into any problems later. Original bills submitted will be highly appreciated as this will result in a fast verification. Inform the company first, then submit the document and then wait for the company to verify and settle the claim. The procedure may take longer or shorter, depending on the documents and authenticity of the raised claim.

Aditya Birla Health Insurance Network Hospital List

Aditya Birla Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Aditya Birla Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

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Aditya Birla Health Insurance Claim Process: FAQs

1. What is the time frame for Aditya Birla Health Insurance Company to settle the claim?

There is no fixed time frame in which the company settles the claim, however, they pay the compensation within 15 days, after the complete verification of the document.

2. What are the additional documents requested by the company in case of a reimbursement claim?

For Reimbursement claims the company may ask for: KYC documents, medical bills, discharge summary, prescriptions, medical reports, claim form, photo Id.

3. From where I can get the claim form?

The claim form can be obtained from the official website of the company.

4. Can we file our claim offline?

Yes, you can file your claim offline. You can visit the company’s nearest branch and submit the claim or call on the toll-free number of the company. The company executive will guide you through the process.

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Bindiya Sinha

Written By: Bindiya Sinha

Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.