Claim intimation clause in health insurance policies is a mandatory clause. This clause refers to the obligation of the policyholder to formally inform the insurance company (or their third party administrator) about a potential claim under the policy. <\/p>\n\n\n\n
This clause typically puts timelines for intimating the insurer. The imitation can be done via any mode of communication. It is advisable that you keep a record of this communication such that in cases where there may be a difference of opinion on having met this requirement, you can share it with the insurer. <\/p>\n\n\n\n
In case of hospitalisation, either as an emergency case or as a reimbursement case, this clause is equally applicable. <\/p>\n\n\n\n
In emergency cases this needs to be done within 24 hours of getting admitted to the hospital.<\/p>\n\n\n\n
In planned cases, this needs to be done 48 hours prior to hospitalisation.<\/p>\n\n\n\n
Why is intimation required?<\/strong><\/p>\n\n\n\n Claim intimation is required mostly by the insurers for two main reasons:<\/p>\n\n\n\n Where to file my health insurance intimation?<\/strong><\/p>\n\n\n\n You can file for intimation in the following ways:<\/p>\n\n\n\n Claim Intimation under Health Insurance Policy<\/strong><\/p>\n\n\n\n Often policyholders are at a loss to access information with the relevant details on where to intimate and how to intimate. <\/p>\n\n\n\n This article provides all contact details of all TPA’s and Insurers along with their email id’s and phone numbers to initiate claim intimation. Once the intimation has been done, kindly keep the interaction details handy. Often you may be allocated a transaction Id number which will confirm the receipt of your intimation.<\/p>\n\n\n\n Please note the following indicative list<\/strong> of insurers and TPA\u2019s for claim intimation<\/strong>:<\/p>\n\n\n\n\n
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