Cashless Claim
Stages of a cashless claim cycle
A claim is a formal request to the insurance provider for reimbursement against losses covered under your insurance policy. There are two types of claim processes currently: Cashless claim & Reimbursement claim. In this article, we will be discussing ...
What is NME or Non medical Expenditure?
The IRDAI has excluded the costs of some products you might purchase while in the hospital in order to prevent the abuse of health insurance. These costs are referred to as non-medical charges, and insurance companies are not obligated to pay the ...
My insurer is Kenko, what should be the cashless claim procedure for it since I don’t have my e-card?
For all the employees having Kenko as their insurer, they don't require e-cards for their claim procedure. If there is any Cashless claim, you are requested to reach out to Kenko Customer Care (Tel)- 1800-843-3599 Mail: care@kenko-health.in and ...
How long will it take to approve my cashless claim?
Typically the turnaround time (TAT) for the settlement of a cashless claim is 3-4 hours. The TAT is calculated from the time of documents shared by the hospital to the TPA. In case the TPA asks for additional documents, the TAT is 3-4 hours from the ...
How to check list of Network Hospitals?
A hospital that has signed a cashless treatment agreement with the health insurance provider is referred to as a network hospital. Network hospitals are the ones stated in the agreement you have with the insurance provider. These hospitals are also ...
What is a cashless claim?
When a hospital (network hospital) ties up with an Insurance Company to provide cashless facilities, it pays the network hospital directly from the sum insured whenever an insured person or their dependents receives treatment from that network ...
How do I start a claim?
1. To start a claim, sign in to the Nova Portal using your corporate email ID and password. (Your date of birth in DDMMYY format is your password). 2. When you log in, you will find a “Use Insurance” option. Click on it to start a claim. 3. Depending ...
My e-card is not available.
Please note that the availability of e-cards takes approximately 15 working days from the date of your policy activation. We will notify you via E-mail & WhatsApp once your e-cards are available and you can check for the same on the portal. However, ...
I want to download my E-Card.
Your e-card, also known as your insurance card is downloadable from here Alternatively, 1. Login using your corporate e-mail id and password 2. Click on view details under the "Health Insurance" Section. 3. You'll be able to download your e-card from ...
I want to know my deduction details.
After the claim is settled, the details of your deductions will be available in the settlement letter in the "Category-Wise Breakup" section. Here is a sample: If you require any help or assistance, feel free to reach out to us at ...
What to do if the hospital refuses cashless payment?
As a general rule, cashless facilities can be availed only in network hospitals and as for non-network hospitals, only a reimbursement claim can be raised. In case of denial of cashless claim in a non-network hospital, after receiving the treatment, ...
How do I file a cashless claim?
A Cashless claim can be availed in the event of a planned hospitalization and when you get admitted to a network hospital of your insurer. In such cases, your bills will automatically be paid off by your Insurance Company to the hospital. The ...