Iffco Tokio Health Insurance Claim Status

IFFCO-Tokio General Insurance and Health Insurance was incorporated in the year 2000. It is a joint venture between the Indian Farmers Fertilizer Co-operative (IFFCO) and its associates and the company offers products like Motor Insurance, Health Insurance and other comprehensive insurance solutions.

An insurance claim is a formal request to the insurance provider for reimbursement against losses covered under your insurance policy. A health care claim status inquiry and response transaction is a communication between an insurer and a policyholder about a health care claim.

Iffco Tokio Claim Process

In this section we will discuss about the claims and the process to check claim status. You can apply for a IFFCO-Tokio Health Insurance claim in 2 ways. You can either go for a Cashless Claim or get Reimbursement for your claim.

Given below are the procedures to be followed.

Cashless Claims

Cashless claims facility is available only with the network hospitals of the IFFCO-Tokio Health Insurance they are tied with. A cashless claim settlement helps in paying off the hospital bill instantly, upfront. It is advised to understand from company’s TPA before you get admitted, about the current status of networking of any particular hospital. You can also contact our Third Party Administrator through their helpline numbers, by quoting your Membership Number given on your health card.

Here’s How You Can File Your Cashless Claims Online

Step 1: Find the network hospitals of Iffco Tokio Health Insurance and get admitted to only those hospitals.

Step 2: Now, notify Iffco Tokio Health Insurance Company about the hospitalization. In case of pre hospitalization inform the insurer about the hospitalization prior to getting admitted.

Step 3: The customer needs to fill the pre authorization form and submit it to the hospital. The pre-authorization form is then sent for the approval to Iffco Tokio Health Insurance Company. Once the form is approved, the customer can avail the medical treatment.

Step 4: At the time of discharge fill in all the medical documents and pay for the services that are not covered under the policy.

Step 5: The hospital will send the hospital bills to Iffco Tokio Health Insurance Company. After review the company will pay the bill directly to the hospital.

Reimbursement Claims

In this type of claim, you can visit any hospital, not just those under your insurer’s cashless network. Here, you get your treatment done at the hospital, pay out of your pocket, and then apply for a reimbursement for the expenses with your insurer. At the time of making the claim, the customer needs to submit all hospital bills, prescriptions, and medical documents to the company.

Here’s How You Can File Your Reimbursement Claims online

Step 1: You need to call Iffco Tokio Health Insurance within two days of your admission date. Post company’s call, they send you a link where you can upload the soft copies of all original documents (bills, reports, etc) and bank details of your desired bank account.

Step 2: Before uploading, you need to sign all the documents yourself.

Step 3: Upload the documents within 30 days from the date of discharge or when you receive the link.

Step 4: You will receive the payment within 30 days from the receipt of the last necessary claim document.

How to Check the Iffco Tokio Health Insurance Claim Status?

You can track the claim status of your Iffco Tokio Health Insurance policy online from the Insurance Company’s website or do it offline. The policyholders can benefit from a digitized platform and can instantly track their claim status.

Steps to Check the Iffco Tokio Health Insurance Claim Status Online

If you already have a claim registered and want to track the progress of Iffco Tokio Health Insurance policy claim status then you can follow the steps as given below:

Step 1: You need to visit the official website of the Iffco Tokio General Insurance Company.

Step 2: On the left side of the page, you will see the dropdown for Menu.

Step 3: Click on ‘Menu’ and select the ‘Claim’ Option. It will redirect you to the Claims Page.

Step 4: There will be multiple options displayed on the screen, from which you can select the Claim Status option. Here you need to click on the ‘Claim Status’ option. It will redirect you to the claim status portal. Here you can check your claim status without any assistance.

Step 5: The page will have two dropdowns one is for ‘Policy Number’ and the ‘Claim Number’. And the other one is for Search number. Click on ‘Submit’ and you will see your policy claim status on the page.

Steps to Check the Iffco Tokio Health Insurance Claim Status Offline

In case you cannot check the claim status online, it is also possible that you do that by visiting the Insurer’s branch office. Let’s see how it can be done:

Visiting the Insurer’s Office

Most of the policyholders nowadays prefer to check their policy claim status online, but a certain percentage of people still prefer to visit the branch office in person to know about the policy claim status and take real-time updates.

The address details of the Insurer’s branch office are given on the Insurance Company’s website. You can find the one nearest to your place. Also, do carry your policy documents along.

Through Email or Phone

To check it offline you can use your phone to call the insurer or email them to get in touch with the Iffco Tokio Insurance Company’s customer care department. It is required to mention your medical insurance policy number in the mail for reference.