Niva Bupa Health Claims Status
  • Claim process
  • CSR of the company
  • Claim status
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Niva Bupa Health Insurance Claim Status

Niva Bupa Health Insurance was founded in the year 2008 and since then it 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 insurance and medical insurance companies in India. Catering to every need of the customers, they design their products 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 and they assert a 30 minutes cashless claim process. Niva Bupa Health Insurance Company Limited with more than 7,000 network hospitals has a smooth claims settlement process. It allows the policyholders to track their claim settlement process through Niva Bupa Health App.

Cashless Claim Settlement Process

Niva Bupa Health Insurance Company Limited with more than 7,000 network hospitals has a smooth claims settlement process. You can check further information on Niva Bupa Health Insurance on our website. The company provides a health card with a policy number on it.

Step 1: The policyholder must find a hospital in the city where they can avail of the cashless treatment process.

Step 2: In case of emergency hospitalization, inform the insurance company within 24 hours. And 48 hours prior in case of planned hospitalization.The policyholder must carry their Niva Bupa health card or policy number and photo ID proof at the hospital.

Step 3: The insurer has to fill out the pre-authorization form at the hospital and submit it to the hospital authority.

Step 4: After checking the policyholder’s identity and details, the hospital will submit the pre-authorization request form to Niva Bupa Health Insurance.

Step 5: The company will then review the documents, confirm with the hospital, and inform you about the same.

Step 6: Once the formalities are complete, the insurer will then settle the claim at the hospital according to the terms and conditions of the policy.

Steps To Check Niva Bupa Health Insurance Plan Claim Status

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

Online Process

Step 1: Visit the official website of Niva Bupa Health Insurance.

Step 2: Visit the claim section on the website and navigate through the claim status portal.

Step 3: Enter the username and password and log in to your account. The policyholder will be able to check the claim status there.

Reimbursement Process

If you are not able to file a cashless claim or if your request for a cashless claim gets rejected, then, you can file for a reimbursement claim. Following are the steps to do so:

Step 1: Foremostly, a reimbursement claim can be made if the treatment is available at a non-network hospital also as per the company instructions.Send invoices, discharge documents, medical reports, with completely signed and filled claim forms to the company.

Step 2: Your claim request will either be approved, rejected or enquired upon, as per the terms and conditions of the policy and you will be informed accordingly.

Health Insurance Articles

Niva Bupa Health Claims Status: FAQs

1. What is incurred Claim Ratio (ICR) of Niva Bupa Health Insurance?

Incurred Claim Ratio (ICR) is a reliable way to ensure the insurance company'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.

2. What is the Claim Settlement Ratio of Niva Bupa Health Insurance Company?

According to the IRDA annual report, the claim settlement ratio of Niva Bupa Health Insurance is 99.93%.

3. How trusted is the claim settlement ratio of Niva Bupa Health Insurance?

According to IRDA, Niva Bupa Health Insurance is among the top five performers of CSR in India.

4. What is the health card of Niva Bupa Health Insurance?

Niva Bupa health card is a type of Identity Card with a policy number mentioned on it and submitted to hospital authority when needed.

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sandeep singh

Chandigarh

January 12, 2023

Dnt buy any policy from Star health They are big fraud my father is admitted in hospital crucial stage they reject our claims without reason i will filled case against company in consumer court...

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Surat

December 9, 2022

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Delhi

December 9, 2022

Policyx helped me a lot in documentation process, I was skeptical at first but they made my work easy.

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November 8, 2022

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September 27, 2022

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Naval Goel

Reviewed By: Naval Goel

Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.