Aditya Birla Health Insurance Claim Status

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Aditya Birla Health Insurance Claim Status
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Simran Kaur Vij
Written By:
Simran

Simran Kaur Vij

Health and Term Insurance

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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Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

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.

Aditya Birla Health Insurance Claim Status

Customers can easily comprehend the online claim services offered by the Aditya Birla health insurance policy. Nowadays, people choose to prefer online transactions from the comfort of their homes. If you are a policyholder of Aditya Birla Health Insurance, you can use a variety of online services offered by the company, such as updating policy information, finding hospitals, renewing, checking the claim status etc.

How to Check the Status of an Aditya Health Insurance Claim?

You can verify your health insurance policy online by visiting the insurer’s website, or you can contact the health insurance specialists at PolicyX for any assistance you require. To follow the status of your claim, you must provide your policy number or claim number. It is a straightforward process that may be completed online in a few easy steps by entering the information below into the claim form:

  • Name of the hospital
  • Number of health insurance policies
  • Name of the hospitalized claimant or insured person
  • Relationship between the insured and the hospitalized person
  • Contact information for the claimant/insured (email id, phone number, landmark, address etc)
  • Type of illness (For health claim)
  • The accident’s date and time (For accidents)

Claim Settlement Ratio Of Aditya Birla Health Insurance Company

As per IRDAI, Aditya Birla health insurance Claim Ratio is 99.41%. Take a look at the below given table that will let you get an insight into the ability of Aditya Birla Claim Settlement.

Status of Aditya Birla Health Insurance Claim Settlement ratio- 2021-22
Age Analysis of Number of Claims Paid (%)< 3 months3 months to 6 months6 months to <1 year1 year to <3 year3 years to <5 years5 years
Claims Settled99.410.260.050.280.000.00

Types Of Aditya Birla Health Insurance Claims

There are two types of health insurance claims you can choose from at your own convenience:

  • Cashless Claim
  • Reimbursement Claim

Let us take a look at both types of claim filing processes:

Cashless Claim

  • To avail of the cashless facility, you need to get admitted to any of the network hospitals of Aditya Health Insurance company.
  • At the network hospital, show the cashless card of Aditya Birla Capital Health Insurance and valid ID proof like a Passport, PAN Card, Voting card, etc.
  • Once the identification is done, the network hospital will send the cashless hospitalization request form to the company.*
  • The company will review the form. After completion of the formalities, the decision will be forwarded to you through SMS and E-mail.
  • Once approved, the payment will be made to the network hospital.

* 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:

  • Claim form (Part A & B)
  • Health card
  • KYC documents
  • Original discharge summary
  • Hospital bills
  • The invoice with payment receipt
  • All consultation papers
  • Others

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.

* 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.

Aditya Birla Health Insurance Network Hospital List

Aditya Birla Health Insurance Network Hospitals are present nationwide. With a wide network of over 10051+ cashless hospitals, Aditya Birla Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Conclusion

Aditya Birla Health Insurance makes the claim process simple, whether you go for cashless treatment at a network hospital or choose reimbursement. With a high claim settlement ratio and a large network of hospitals across India, you can get the care you need without hassle. You can also track claims, renew policies, and update details online from home.

For easy claim support, comparisons, or help with buying or renewing a policy, you can also reach out to PolicyX.com. We offer no spam, no gimmicks, only expert insurance advice.

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1. What documents are required for an Aditya Birla Health Insurance claim?

To file a claim, you need the filled claim form, hospital bill, discharge summary, pharmacy and test bills with prescriptions, bank details, and a valid ID. For accidents, include an FIR or MLC report. Submit scanned PDFs for online claims or originals for offline submission.

2. How can I track my Aditya Birla health claim?

You can track your claim online via the ABHI website or the Activ Health App. You can also send "Hi" on WhatsApp to 8828800035, call the toll-free number 1800-270-7000, or email care.healthinsurance@adityabirlacapital.com

3. Can I renew my Aditya Birla Health Insurance policy online?

Yes, you can renew it online through the Aditya Birla official website or through PolicyX.com. Just go to the renewal section, enter your policy number, and make the payment.

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