Claims Process Note 1

Claim Process & Controls Key Processes Cashless Reimbursement Pre-Post Call Centre Emergency Member Planned Network 2

Cashless Process- Emergency 3

Cashless Process - Planned 4

Re-Imbursement Process The claimant sends the claim file to i-Healthcare with all relevant documents: (with in 30 days of the date of discharge)‏ Claim form duly signed Original detailed discharge summary All Payment receipt(s) in original Original hospital bill(s) with break up—Interim bills and Final Bill Package break-up (if applicable)‏ Original investigation reports and Bills Pharmacy bills with supporting prescription Consultation Papers with Treatment details Indoor Case Sheet (wherever applicable) ,etc 5

Re-Imbursement Process- Member 6

Call Centre Toll Free 24 X 7 Availability of Valuable Assistance – 1800 209 8888 (Accessible from Mobile Phones Also) Toll Free Fax Number : 1800 209 8880 East Steps: Dial the Number, Select 1 / 2 for Language option Select 1 for Claims Select 3 for I Healthcare Features on the Call Centre Currently: Facilitates in Network Hospital guidance Status Update on the Cashless issuance Claims Status Update Call Back Facility in unresolved queries 7

Basic services Activity Details Expected TAT Cashless Sanction Emergency 3 – 4 Hours- from receipt of request at i-healthcare 3 – 4 Hours- before discharge Planned 4 Hours- from receipt of request at i-healthcare 4 Hours- before discharge Re-Imbursement Claim 15 Working Days Query Letter 10 Working Days