Star Health Cashless Claim Form New
Cashless claim procedure for customers to be followed during hospitalization
Cashless Claim: a six step process
- Approach the insurance desk at a network hospital. Intimation can be given either through contacting us at 1800 425 2255 / 1800 102 4477 or e-mail us at support@starhealth.in
- Show your Star Health ID card for identification purpose at the hospital reception.
- Submit to the hospital Pre admission investigations and Doctor’s consultation papers
- Network hospitals will verify your identity and submit duly filled pre – authorization form with Star Health
- Our doctors verifies all the submitted documents before processing the claim as per terms and conditions.
- An assigned field doctor may visit the patient at the hospital if required.
- After discharge, the hospital will send the claim documents to the company and the authorized amount will be settled directly to the hospital.
Note:
Non-Payable items would be at the insured’s own cost
a) In case of planned hospitalization:
- Please contact the toll-free help line: 1800 425 2255 / 1800 102 4477
- The hospital will send the duly filled pre-authorization from through hospital portal (or) at the below number (or) Email ID
- Toll-free FAX: 1800 425 5522 (or) cashless.network@starhealth.in
- Non Toll-free FAX: 044 -28302200
- Please carry your ID card.
b) Procedures to be followed in case of emergency hospitalization:
- In case of Emergency like accident or sudden bout of illness may that requires immediate admission to the hospital
(i) After the patient is rushed to the hospital and avails treatment.
- Upon receiving intimation from the insured/insured’s attender, they are contacted by the network hospital
- Customer Care will verify the validity and coverage of the policy
- A field visit doctor is deputed to visit the patient at the hospital if required.
- Our medical team will process the cashless request for the insured person subject to policy terms and conditions.
(ii)Cashless claim authorization process
- Upon receiving intimation from the insured/insured’s attender, they are contacted by the network hospital.
- Customer Care will verify the validity and coverage of the policy
- A field visit doctor is deputed to visit the patient at the hospital if required
- Our medical team will process the cashless request for the insured person subject to policy terms and conditions.
c) Documents required for cashless claim submission by Hospital
- Health card
- Doctor’s consultation papers
- Discharge summary
- Investigation reports (e.g. X-ray, scans, blood report, etc.)
- Pharmacy invoices supported by respective prescriptions
- In cases of accidents, Medico Legal Certificate (MLC) and / or FIR
- KYC documents of the insured if claimed amount exceed Rs.1, 00,000/-
Note: Documents other than the Health Card should be submitted in original.
| INFORMATION OF PDF FILE FOR FREE DOWNLOAD | |
| Title of PDF File | Star Health Cashless Claim Form New PDF |
| Language of PDF File | English |
| Size of PDF File | 1.3 MB |
| No of Pages in PDF File | 1 |
Health Insurance TPA of India Ltd Claim Form
TPA stands for Third Party Administrator and as such is defined as an organization or individual that handles the claims, processing, and reporting components of a self-funded health benefits plan. As an employer considers or maintains a self-funded health plan program they typically will engage the services of a TPA.