Cashless Health Insurance Claim Process

Step 1:

Locate a cashless network hospital of your choice

Cashless claims are available at our 5900+ network hospitals. Visit our network hospitals for a stress-free experience, be it for an emergency hospitalization or a planned one.

Locate network hospital near you

Step 2:

Verify patient identity

When you reach the hospital, show your Aditya Birla Health Insurance Policy Cashless Card or share your policy number. Also share a valid ID proof such as PAN card, Passport, Voter ID, etc.

Your Cashless Card or Policy Number

Any Identity/address proof

Step 3:

Fill the request form at the hospital or online

Visit the insurance desk at the chosen hospital and ask for a Pre-Authorization Request Form. Submit that to the hospital. It will then be sent to us, your insurer, for approval.

To speed this process up, you can also download the form right here and keep it duly filled and ready to submit to the hospital.

Download the Pre Authorization Form

For planned hospitalization: Submit the form at least 3 days before getting admitted

For emergency hospitalization: Submit the form within 48 hours of getting admitted

Pre Authorization Form

Step 4:

Allow your claim to process

Once we receive your documents, we will review them as per the terms and conditions. Once all formalities are completed, we will process the claim with the hospital.

Track claim

1 Claim Initiated

2 Claim Under Review

3 Claim Settled

Reimbursement Claim Process

Step 1:

Notify / Intimate Us in case of Emergencies or Planned Hospitalization

In case of an emergency, notify within 48 hours or a planned hospitalization, 3 days before to avail claim.

Notify Us

Notify us by

Step 2:

Collect and Submit your Claim Documents

Collect the relevant documents in original from the hospital and submit them to us within 15 days of discharge from the hospital.

View list of documents

Reimbursement Claim Form

Step 3:

Your claim is under review..

We will review and approve claim (as per the terms & conditions). You can also check your claim status online by entering your policy no.

Track claim

1 Claim Initiated

2 Claim Under Review

3 Claim Settled

What is Cashless OPD?

Avail our Cashless OPD services by joining our Chronic Management Program. It offers benefits that are not just limited to in-patient hospitalisation, but outpatient hospitalisation too. People suffering from chronic diseases can avail our services like lab test, medicines and doctor consultation.

Avail our OPD Services?

Our Activ Health Plan members can get their expenses covered by availing the below services.

Lab Test

The expenses under lab tests includes X-ray, Blood check, etc

Book test

Medicines

The expenses under doctor consultation includes Doctor’s fee, day care charges, etc.

Order medicines

Doctor Consultation

The expenses under doctor consultation includes Doctor’s fee, day care charges, etc.

Book slot

Join Chronic Management Program to avail Cashless OPD

Applicable for: Activ Health Plan

The Program helps in managing chronic conditions like asthma, diabetes, blood pressure, and cholesterol so that you can lead a healthy lifestyle.

Know more

Connect with us for help with Claims

Cashless Claim

Avail cashless claims by informing us in case of emergency hospitalisation within 48 hours, or planned hospitalisation 3 days before your admission, at any one of our 10051+ network hospitals

Raise a cashless claim

Reimbursement Claim

Get your hospitalization expenses reimbursed by notifying us within 48 hours in case of emergency hospitalisation or 3 days before your admission in case of a planned hospitalisation, at any network or non-network hospital.

Raise a reimbursement claim

Cashless Claim

Track cashless claim

Reimbursement Claim

Track reimbursement claim

Our Care Managers are here to help you through your claim process.

Applicable for: Activ Health, Activ Assure and Activ Care Plan

At any step of the claim process, you can seek help from our Care Managers. Be it understanding policy documents, filing a claim, or even managing discharge paperwork at the hospital.

Know more

Claims Form1

Claims Form2

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Refund/cancellation Policy

1. The premium is paid for purchase of insurance policy through net banking account or credit/debit card issued in my name, i.e. proposer/policyholder.
2. Any Document required by the Company before issuance of a policy or for processing application or Claim settlement or premium refund shall be provided by me to the Company.
3. I hereby confirm that all premiums have been/will be paid from genuine sources and no premiums have been/will be paid out of proceeds of crime related to any of the scheduled offences listed in Prevention of Money Laundering Act, 2002. I understand that the Insurance Company has the right to call for documents to establish sources of funds. The insurance company has right to cancel the insurance contract in case I am/ have been found guilty by any competent court of law under any of the statutes, directly or indirectly governing the prevention of money laundering in India.
4. According to Regulation 3(d), 3(f) & 3(g) of Insurance Regulatory and Development Authority (IRDA) (Manner of Receipt of Premium) Regulations, 2002, the premium to be paid by any person proposing to take an insurance policy (hereinafter referred to as the proposer) or by the policyholder to an insurer may be made through credit/debit card held in his name, Internet or E-Transfer.
5. As per Anti-Money Laundering / Counter Financing of Terrorism (AML/CFT) guidelines issued by IRDA for general insurance companies are required to carry out Know Your Customer (KYC) norms at the settlement stage where Claim payout /premium refund crosses a threshold of Rs. 1 lakh per claim /premium refund.
6. Insurance Company may, at its sole discretion, call for any document before issuance of a policy or for processing the application of Claim settlements /premium refund.

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Cashless Health Insurance Claim Process

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Find answers to your questions around cashless claims

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Cashless Health Insurance Claim Process

Active Health App

Join us on WhatsApp

Drop an Email

Call us on Tollfree

What our customers say about our easy claim process

Find answers to your questions around cashless claims