Niva Bupa Health Insurance Claim Status Check Online | PolicyX
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Niva Bupa Health Claims Status

Niva Bupa health insurance policyholders can easily manage their claims, whether opting for cashless treatment at network hospitals or filing for…

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Written by Simran Kaur Vij
Published: 16 Aug 2024
Updated: 26 Jul 2026
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Niva Bupa Health Insurance Claim Status

Niva Bupa Health Insurance, founded in 2008, has served its customers with many popular products. Their innovative and comprehensive health policies have made Niva Bupa Health Insurance Company one of the leading health and medical insurance providers in India. Catering to every customer's need, their products are designed to be affordable and inclusive.

Niva Bupa Health Insurance (formerly known as Max Bupa Health Insurance) is now one of the most trusted standalone health insurance partners, offering a 30-minute cashless claim process. Niva Bupa Health Insurance Company Limited, with more than 7,000 network hospitals, has a smooth claims settlement process. Policyholders can track their claim settlement process through the Niva Bupa Health App.

Cashless Claim Settlement Process

The company provides a health card with a policy number on it. Follow these steps for a cashless claim:

  1. The policyholder must find a network hospital where they can avail of cashless treatment.
  2. In case of emergency hospitalization, inform the insurance company within 24 hours. For planned hospitalization, inform 48 hours prior. The policyholder must carry their Niva Bupa health card or policy number and photo ID proof to the hospital.
  3. The policyholder must fill out the pre-authorization form at the hospital and submit it to the hospital authority.
  4. After checking the policyholder’s identity and details, the hospital will submit the pre-authorization request form to Niva Bupa Health Insurance.
  5. The company will then review the documents, confirm with the hospital, and inform you about the approval status.
  6. Once the formalities are complete, the insurer will settle the claim directly with the hospital according to the terms and conditions of the policy.

How to Check Niva Bupa Health Insurance Claim Status

Policyholders can check their Niva Bupa Health Insurance claim status either online or offline.

Online Process to Check Claim Status

  1. Visit the official website of Niva Bupa Health Insurance.
  2. Navigate to the claims section on the website and find the claim status portal.
  3. Enter your username and password to log in to your account. You will then be able to check the claim status.

Reimbursement Claim Process

If you are unable to file a cashless claim or if your request for a cashless claim gets rejected, you can file for a reimbursement claim. Follow these steps:

  1. A reimbursement claim can be made if the treatment is availed at a non-network hospital. Send invoices, discharge documents, medical reports, along with duly signed and filled claim forms to the company.
  2. Your claim request will either be approved, rejected, or further inquired upon, as per the terms and conditions of the policy, and you will be informed accordingly.

Health Insurance Companies Network Hospitals

Aditya Birla
Bajaj Allianz
Bharti Axa
Care Health
Future Generali
HDFC Health
IFFCO Tokio
Manipal Cigna
Niva Bupa
SBI Health
Star Health
Tata AIG
New India
Universal Sompo

Frequently Asked Questions

Incurred Claim Ratio (ICR) is a reliable way to ensure the insurance company& 039;s reliability. This indicates the claim procedure and the productivity of an insurance company in terms of revenue.Niva Bupa Health Insurance has an ICR of 53.51% for the financial year 2019-20.
According to IRDA, Niva Bupa Health Insurance is among the top five performers of CSR in India.
Niva Bupa health card is a type of Identity Card with a policy number mentioned on it and submitted to hospital authority when needed.
According to the IRDA annual report, the claim settlement ratio of Niva Bupa Health Insurance is 99.93%.

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