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.

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.