How to file claim

How to file a claim?

From claim intimation to claim submission, filing your medical claim includes multiple steps. You do not want to miss a single step as it may raise a query on your claim. It's important to learn and understand all the steps and their significance. Consult with an expert to learn more.

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SureClaim gives you the power of preparing your own claim using our customized algorithms. You can also have an expert prepare your claim in an organized manner.

Before you prepare your claim,
learn the process!
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How to fill a claim form?

Stuck with a section in your medical claim form? Keep a SureClaim sample form handy. Read the form properly. Take help from someone who is experienced in filing a claim. You can also ask SureClaim experts, as always.

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Where to upload my documents online?

We offer free self-claim submission online. Go to Prepare Claim Yourself section and login to SureClaim platform and follow the step-by-step paperwork guidelines.

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I'm not sure where to start from.

Start with a proper study of your insurance policy, what it covers and what it doesn't. Check the documents and bills needed. Then go to Prepare Claim Yourself section and login to SureClaim platform and follow the step-by-step paperwork guidelines.

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I delayed my claim submission. What's next?

Don’t worry if you delayed submitting your claim. If you can provide a valid justification for the delay in claim submission, your insurer/TPA accepts your claim. Consult with a claim expert if you still have doubts.

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Need help with your documents while filing a claim?

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Know your paperwork

What documents are required in reimbursement claim?
  • Duly filled claim form (Intimation to toll-free number is mandatory before the form is filled)
  • Original bills/receipts and discharge certificate/card from the hospital
  • Original bills from chemists supported by proper original prescription
  • Receipt and investigation test reports from a pathologist supported by the note from attending medical practitioner/ surgeon prescribing the test
  • Nature of operation performed and surgeon's bill and receipt
  • Self-declaration/MLC/FIR in case of accident cases
  • Treating doctor's certificate
What documents are required in cashless claim?
  • Duly filled claim form
  • Doctor's consultation papers
  • 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
  • Discharge summary
  • Other relevant document
Possible reasons for claim denial by insurer:
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Can I get help only for paperwork from SureClaim?

Yes! A SureClaim expert can help you with your paperwork. Our XpertClaim plan @ Rs. 499 offers complete paperwork guidance until you file your health insurance claim successfully.

Want a sample claim form?

A sample claim form helps you understand the claim preparation and gives a good idea about the process.

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Self-claim or SureClaim assistance?

SureClaim gives you a platform to prepare your claim yourself leveraging our self-claim’s intelligent algorithm and clutter-free interface. For a customized claim preparation, get assisted services by a SureClaim expert with XpertClaim.