Aditya Birla Health Insurance Claim Settlement

Aditya Birla Health Insurance calculates its claim settlement ratio by dividing the total number of claims settled within 30 days by the total number of claims paid. The claim settlement ratios for the preceding five years are listed below:

When selecting a health insurance company, it is essential to consider the claim settlement ratio (CSR) of the insurance company. CSR helps you assess the company's ability to settle claims, which is critical for you and your family. There are two main reasons why CSR is important:

• Helps in Assessing Insurance Companies: When buying an insurance policy, you need to consider the insurer's Claim Settlement Ratio (CSR). One feature that might help you choose whether or not insurance is good for you is CSR. Before making a purchase, compare the CSR of many companies to see who has the greatest ratio. You are more likely to get a claim from an insurer with a higher claim settlement ratio if the need should arise.

• Shows the Percentage of Claims That Have Been Paid by the Insurer: A high claim settlement ratio is essential for evaluating an insurer's commitment. A high settlement ratio indicates that an insurer is more likely to pay claims when policyholders need them. However, the claim may be rejected if the insured fails to provide the necessary documentation, which would reduce the insurer's claim settlement ratio

If you need to claim Aditya Birla Health Insurance policy, you should follow these steps:

How To File a Claim

Approximately 11,000 healthcare providers offer cashless services through Aditya Birla Health Insurance. If an emergency occurs, Aditya Birla Health Insurance must be notified 48 hours in advance of any scheduled treatments at non-network hospitals, or within 48 hours of the patient's admission. Specifically, authorisation for cashless care in non-network hospitals requires meeting the requirements outlined in your Aditya Birla Health Insurance policy as well as the hospital's policy.

Furthermore, the following is a list of actions to do regarding reimbursement claims and cashless transactions:

Cashless Claims

• Proceed to the closest healthcare center.

Use these procedures to check the status of your Aditya Birla Health claim, both online and offline:[1]

Online:

Step 1: Visit the Aditya Birla Health Insurance official website.

Step 2: Click on the “Claims” option at the top centre of the page.

Step 3: In the dropdown menu choose “Track My Claim”.

Step 4: Fill out your information to check your claim status.

Offline:

• Present a copy of your insurance paperwork at the Aditya Birla Health Insurance store that is closest to you.

• Find out your claim status and coverage by speaking with a branch office executive.

Additionally, you can get the latest information by contacting any number from the Aditya Birla Health Insurance website list or by giving the customer support agent over the phone your claim reference number at 1800 270 7000, a toll-free number.[2]

The Insurance Regulatory and Development Authority of India (IRDAI) states that an insurer has thirty days from the date of payment or the filing of claim documentation to settle a claim.

Tips to Get Your Claim Settlement Faster

To quicken the settlement of your claims, keep the following in mind:

• Gain a better comprehension of your insurance.

• Send only finished paperwork.

• You should maintain a file with all of your correspondence from your insurance.

• Keep putting the policy into practice.

• Examine each document you have in great detail.

• Consult a lawyer if necessary.

To receive help and support with your claim from InsuranceDekho, you can:[2]

• Email: care.healthinsurance@adityabirlacapital.com

• Contact No:1800 270 7000

To receive help and support with your claim from InsuranceDekho, you can:[3]

InsuranceDekho offers immediate customer assistance in the following ways:[4]

• Email:- support@insurancedekho.com / grievance@insurancedekho.com

• Contact Number: 7551196989

• Mail Address:- Plot no.301, Phase-2, Udyog Vihar, Gurugram-122022, Haryana, India.

[1] https://www.adityabirlacapital.com/healthinsurance/homepage

[2] https://www.adityabirlacapital.com/healthinsurance/grievances-complaints

[3] https://www.insurancedekho.com/contact-us