Aditya Birla Claim Settlement Ratio
- Explore the CSR process of Aditya Health
- Know the significance of a good CSR
- Claim Filing procedure
Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.
Updated on Aug 07, 2023 4 min read
Buying Health Insurance without knowing the company’s performance can cause problems during medical emergencies. One such factor that you should always check at the time of buying Health Insurance is its Claim Settlement Ratio (CSR). Why? Because what’s the need for a health insurance plan if your health insurance company is unable to settle your claims on time
Didn’t understand? Well, read along to explore more about the Claim Settlement Ratio and its significance.
The claim settlement ratio or CSR is the percentage of claims that have been paid by an insurance company. In other words, it is the percentage of claims paid out by an insurer during a financial year. The ratio compares the number of claims filed to the number of claims settled.
Health Claim Settlement ratio a number of claims settled/number of claims received x 100
Talking about the claim settlement ratio of Aditya Birla Health Insurance Company, so per the latest report published by IRDAI in 2025, it is 92.97%.
Before purchasing any new goods, we investigate their dependability as well as the brand’s reputation. The same is true when purchasing health insurance. Checking the company’s claim settlement ratio might provide insight into how the company is functioning in terms of claiming settlement.
It will also provide you with information about the company’s capacity to settle claims. The higher the claim settling ratio, the more capable the firm is of settling claims.
Buying a Health plan from a company that possesses a decent claim settlement ratio helps you and your family at the time of announced medical emergencies.
Let’s understand this with a simple example:
Mr Arora bought health insurance, but at the time of his wife’s surgery, his health insurance company delayed the claim settlement process, which resulted in distress among the family members.
With the above example, it is imperative to check the claim settlement ratio of your chosen company. If you have decided to buy health insurance from Aditya Birla, do not forget to check the claim settlement ratio of Aditya birla health insurance and compare it with other top insurers.
Aditya Birla Health Insurance Network Hospitals are present in 32 states nationwide. With a wide network of over 10051+ cashless hospitals, Aditya Birla Life Insurance ensures that you are medically secured, irrespective of the city you reside in.
There are two types of health insurance claims you can choose from at your own convenience:
Let us take a look at both types of claim filing processes:
Cashless Claim
For planned hospitalization, the form needs to be submitted 3 days in advance. For emergency cases, it needs to be submitted within 48 hours after hospitalization.
Reimbursement Claim
If you are admitted to a non-network hospital, you have to pay the hospital directly after the treatment is done.
1. To file a claim, submit the documents to Aditya Birla within 15 days of discharge:
The documents required are:
2. After reviewing the documents, Aditya Birla will take the appropriate decision and if approved, the amount will be reimbursed through NEFT to the registered bank account.
You need to inform the company within 48 hours (in case of emergency hospitalization) and 3 days before your admission (for planned hospitalization).
To check the claim status of your Aditya Birla Health Insurance policy, follow the below steps:
Aditya Birla Health Insurance’s claim settlement ratio of 92.97% as of 2025, coupled with its extensive network of over 10,051 cashless hospitals, demonstrates a strong commitment to policyholder support during medical emergencies. Choosing a health insurance provider involves a comprehensive evaluation of coverage, network, and claim settlement efficiency, empowering individuals to make informed decisions for their health and financial well-being.
Don’t leave your family’s health to chance. Visit PolicyX.com today to explore other comprehensive health plans and secure your future.
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.
Aditya Birla Health Insurance
To cater to the different medical needs of an individual & their family, Aditya Birla Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Aditya Birla Health Insurance plans explore more:
Individual and Family Health Insurance
A plan designed for every lifestyle. What if I told you that there is a health insurance plan that gives coverage according to your lifestyle? Yes, Ad...
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Individual and Family Health Insurance
A plan that covers you and your extended family. Imagine getting a health insurance plan for you and your family. With family, I mean: Your spouse ...
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Individual and Family Health Insurance
Aditya Birla Activ Health Platinum Essential Plan is your best friend if you are looking for a health insurance cover that protects you against chroni...
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Individual and Family Health Insurance
Activ Health Platinum, a health product by Aditya Birla Health Insurance Company is a health insurance plan designed to look after the healthcare need...
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Top Up and Super Top Up
Is there a health plan that covers exceeding medical expenses without letting you worry about its limit? Well, Aditya Birla Activ Assure Diamond does!...
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Individual and Family Health Insurance
Isn't it right to have a health insurance policy that provides all-time healthcare accessibility for you and your family and doesn't drain out your al...
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Individual
When you have access to everything global, why should your healthcare be any different? To cater to your global healthcare services requirements, the ...
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Individual and Family Health Insurance
Raho Fit to Get Benefits! Ye hai #FitnesskaUltimateInfluencer You can earn with the Aditya Birla Activ Fit Plus plan and become wealthy! YES, you hear...
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Senior Citizen Health Insurance
What if someone looked after your parents just like you?' Aditya Birla's Active Care Standard plan does that for your parents. This is one of the plan...
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Individual and Family Health Insurance
The Activ Health Platinum Premiere plan is one of the variants of the Aditya Birla Activ Health insurance plan. It safeguards you from health emergenc...
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Individual and Family Health Insurance
Aditya Birla Activ One Plan comprises features such as: Health returns Health assessment Daycare treatments No capping on hospitalization expenses Me...
Unique Features
Senior Citizen Health Insurance
Growing old comes with several complications related to our health, at times. It's so natural that nobody could deny accepting the complications and s...
Unique Features
Critical Illness Health Insurance
Aditya Birla Activ Secure Critical Illness Plan is designed to cover your financial losses due to any treatment for critical illness. The plan has wid...
Unique Features
Individual and Family Health Insurance
Aditya Birla Activ Fit Plan is designed to provide quality medical coverage to young individuals. The plan not only provides medical coverage but als...
Unique Features
Individual and Family Health Insurance
Aditya Birla Platinum Enhanced Plan offers unique healthcare benefits to insured individuals such as health insurance protection with wellness benefit...
Unique Features
Accident Health Insurance
Aditya Birla Activ Secure Personal Accident Plan is designed to protect you and your family in case of any unforeseen incident. Activ secure personal ...
Unique Features
Critical Illness Health Insurance
Aditya Birla Cancer Secure health plan is a health insurance plan designed specifically for cancer patients protecting them financially from all three...
Unique Features
Know More About Health Insurance Companies
The solvency ratio of Aditya Birla health insurance company is 1.73 as of 2023.
You can typically track the status of your claim online through Aditya Birla’s official website or mobile app. Alternatively, you can contact their customer service for updates.
If your claim is denied, you will receive a formal explanation from Aditya Birla outlining the reasons. You usually have the right to appeal this decision. Review the policy documents carefully and follow the appeal process outlined by Aditya Birla.
As per the latest IRDAI report released in 2025, the claim settlement ratio is 92.97%.
It indicates the percentage of claims an insurance company settles, reflecting its reliability and efficiency in handling claims.
You can track your claim status on the Aditya Birla Health Insurance official website by logging into the claims section.
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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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