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July 9th, 2016, 08:40 AM
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Join Date: Mar 2012
IFFCO TOKIO Health Insurance Claim Form

Hi I am interested in having the information of the procedure to be followed for the Health Insurance to be claimed as well as the sample format of the claim form?

All insurance contracts depend on the data gave by the insured in the proposition structure. The proposition structure frames the premise of insurance contracts.

In perspective of shifted nature of strategies, certain focuses particular to individual arrangements, notwithstanding the above, are recorded underneath:

You can apply for a Health Insurance claim in 2 ways. You can either go for Cashless Claim or get Reimbursement for your case. Given beneath are the methodology to be taken after:

Cashless cases office is accessible just with the system clinics of the TPA we are tied with. You are encouraged to comprehend from our TPA before you get conceded, about current status of systems administration of a specific clinic.

Under this office the system clinic might help you in finishing the custom identified with cashless solicitation. You can likewise contact our Third Party Administrator through their helpline numbers , by citing your Membership Number given on your wellbeing card.

Cashless cases are of two sorts:

Cashless Claims strategy for Emergency Admission
Cashless Claims strategy for Planned Admission

Strategy for Reimbursement of Claim

On the off chance that you have not profited cashless office in system clinic or you have taken treatment in a doctor's facility which is not a piece of net work then you may present your unique archives for repayment.

Step 1: Intimate IFFCO-Tokio through the toll number - 1800 103 5499 promptly on affirmation not later than 7 days from the date of release. It would be ideal if you cite your Policy Certificate Number while insinuating the case.

Step 2: Avail treatment and settle all the bills with the doctor's facility and after that document a case for repayment.

Step 3: Download the significant case structure from our site (or) demand for one through our call focus.

Claim reports may likewise be submitted to nearby IFFCO TOKIO Office address which can be acquired by calling our Toll Number 1800 543 5499.

In the event that you require a direction on the cases procedure, you could likewise get in touch with us through our Toll Numbers - 1800 543 5499.

Record agenda

Records to be submitted if there should arise an occurrence of Reimbursement of Claim - Duly filled case structure alongside Doctor's authentication

• Discharge summary
• Bills
• Prescriptions
• Advance and final receipts
• Diagnostic Test Reports, X Ray, Scan and ECG and other films

In the event that required case preparing group might look for further more archives other than the above recorded ones.

If you don't mind Note:

Cases would be handled on receipt of all required reports and extra records/data if any required will be called for after examination of the case

Check will be dispatched to you if the case is permissible. If not, a denial letter would be sent to you

The turnaround time for Reimbursement cases is 20 days from the date of receipt of all archives

Please find the format of the claim form of the IFFCO TOKIO Insurance Company Limited





Last edited by Neelurk; February 10th, 2020 at 11:49 AM.
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