1. Claims Process Note 1

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

3. Cashless Process- Emergency3

4. Cashless Process - Planned4

5. 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

6. Re-Imbursement Process- Member6

7. Call Centre
Toll Free 24 X 7 Availability of Valuable Assistance – (Accessible from Mobile Phones Also)
Toll Free Fax Number :
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

8. 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