Niva Bupa Health Insurance Claim Settlement

Niva Bupa Health Insurance determines its claim settlement ratio by dividing the total number of claims paid by the total number of claims settled within 30 days. Below is a list of the claim settlement ratios over the last five years:

When selecting a health insurance provider, 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:

• Assists in Evaluating Insurance Companies: When buying an insurance policy, the insurer's Claim Settlement Ratio (CSR) must be considered. One statistic 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.

• Displays the Percentage of Claims that the Insurer has Paid Out: A high claim settlement ratio is important in assessing the commitment of insurance. A high settlement ratio indicates a higher likelihood of an insurer settling claims when policyholders need them. However, should the insured fail to provide the necessary documentation, the claim may be rejected, therefore reducing the insurer's percentage of claims settled.

If you must file a claim with Niva Bupa Health Insurance, you must do the actions indicated below:

How To File a Claim

Step 1: Initiation

• Contact the customer service representatives of InsuranceDekho or Niva Bupa Health Insurance as soon as possible if you have an emergency or need to make an appointment for medical care.

• The Niva Bupa Health Insurance customer service department can be contacted by phone at 1800 309 3333, which is a toll-free number, or by email at rules.nivabupa.com/customer-service/?page=grievance.[2]

• Should you like to talk with an InsuranceDekho representative, please email us at support@insurancedekho.com or give us a call at 7551-96989.[3]

Approximately 10,000 healthcare providers offer cashless services through Niva Bupa Health Insurance. Notification to Niva Bupa Health Insurance of any scheduled procedures at non-network hospitals must be made 48 hours in advance, or within 48 hours of the patient's admission in the case of an emergency. Be aware that permission for cashless care in non-network hospitals requires meeting the requirements outlined in your Niva Bupa Health Insurance policy as well as the hospital's.

Additionally, a list of actions to do regarding cashless transactions and reimbursement requests is provided below:

Cashless Claims

• Proceed to the closest healthcare centre.

• Visit the front desk to have a conversation with the third-party administrator, or TPA.

• TPA will fill out and submit your application to Niva Bupa Health Insurance on your behalf.

• After everything is authorised, the claim executive will proceed with the processing of the claim after reviewing the reports.

• The hospital will allow you to begin therapy as soon as you receive approval.

• Following treatment, the hospital and your health insurance company will split the cost.

Use these procedures to check the status of your Niva Bupa Health claim both online and offline:[1]

Online:

• Visit the official website of Niva Bupa Health Insurance.

• Choose the "Claim" sub-header from the header.

• On the claim page, select the type of claim to proceed further.

• Enter the data to confirm the status.

Offline:

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

The settlement of your claims may go more quickly if you have the following in mind:

• Increase your comprehension of your policies.

• Please send only the completed paperwork.

• You should maintain a record of every correspondence you have with your insurance.

• Maintain the policy's implementation.

• Examine each document you have carefully.

• If necessary, consult a lawyer.

To get assistance and backing with your Niva Bupa Health Insurance claim, you can:[2]

• Email: rules.nivabupa.com/customer-service/?page=grievance.

• Contact No:1800 309 3333

To get assistance and backing with your InsuranceDekho claim, you can:[3]

• Email: support@insurancedekho.com

• Contact No: +91-755 1196 989

Additionally, InsuranceDekho provides prompt customer support via the following channels:[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.nivabupa.com/

[2]https://www.nivabupa.com/health-insurance-articles/niva-bupa-customer-care-number.html

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