The Ultimate Guide to UnitedHealthcare Parekh (UHC) TPA Health Insurance Claim Process

UnitedHealthcare Parekh Insurance TPA (UHCP) is a preferred TPA in the health insurance industry specializing in a wide range of health service offerings. UHCP is a joint venture between the world’s leading health insurance company, UnitedHealth Group and the Parekh family.

Read on for a detailed explanation of UnitedHealthcare Parekh’s claim process with information on the documents required and other intricacies of claim submission.

UnitedHealthcare Parekh Cashless Claim Process

Planned Hospitalization at a Network Hospital

  • Fill the pre-authorization form available at the hospital and fax it to UHCP office at least 4 days in advance.
  • If the hospitalisation is authorized, then pay for all the non-medical expenses.
  • Sign the main hospital bill and keep photocopies for the record before getting discharged.
  • Fill and sign the UnitedHealthcare Parekh claim form and have it stamped by the hospital.
  • Pay for all the non-medical expenses while your claim for medical expenses will be processed by UHCP.

Emergency Hospitalization at a Network Hospital

  • Get admitted into a network hospital.
  • Contact the hospital’s billing department so they can inform UHCP.
  • If the hospitalization is authorised, then make sure you pay for all the non-medical expenses.
  • Sign all the relevant documents along with the claim form before discharge.

If the hospitalization is rejected, the treatment can continue and you can file a claim for reimbursement after getting discharged from the hospital

For cashless claims, ensure that you hospitalized at a UHCP network hospital. Check the UHCP hospitals here.

UnitedHealthcare Parekh Reimbursement Claim Process

Planned Hospitalization at a Non-Network Hospital

  • Inform UHCP.
  • Get admitted into the non-network hospital.
  • Settle all the medical bills in full at the time of discharge and collect all the reports, documents, and bills.
  • Lodge your medical claim with UHCP for reimbursement.

Emergency Hospitalization at a Non-network Hospital

  • Approach your nearest hospital.
  • Inform UHC India about the hospitalisation as soon as possible.
  • Settle all the bills in full at the time of discharge and collect all the papers, reports, and bills.
  • Lodge the medical claim with UHCP for reimbursement.

Documents Required for UnitedHealthcare Parekh Insurance Claim

There are 4 types of documents you need to submit with your claim. The document required may differ depending on your claim type.

KYC Documents

Know Your Customer (KYC) documents verify and establish the identity of the patient and the policyholder. These documents include the following:

  • A copy of patient’s Aadhaar card
  • A copy of policyholder’s PAN card (If PAN card is unavailable, any other government-issued ID proof may work)
  • UnitedHealthcare Parekh or the insurance policy certificate
  • A cancelled cheque (original) for policyholder’s banking account details

Generate your UnitedHealthcare Parekh (UHC) TPA E-card here.

Hospitalization and Treatment Documents

Along with your claim form, you need to submit the documents such as discharge summary, payment receipts, hospital bill, package breakup, bill breakup, etc. you receive from the hospital. These documents have to be in original printed on the hospital’s letterhead. While collecting the documents from the hospital, go through these checkpoints:

  • The main hospital bill is usually a summary of all the expenses. Ask the hospital for a breakup of the bill.
  • If your hospital bill includes a surgery package, ensure that you ask for the package breakup printed on the hospital’s letterhead or a plain paper with the hospital’s seal.
  • Receipts of all payments you made to the hospitals needs to be included in your claim. So, ensure that all the receipts amounts match the final bill amount, after deducting the discounts, if any.

For pre-hospitalization and/or post-hospitalization claims, you don’t need the hospital bills or the breakups of the bill. A photocopy of discharge summary is all you need to submit such claims.

Remember to include consultation, physiotherapy, pharmacy, and lab bills in your claim. Ensure that you check the duration eligibility of pre and post-hospitalization. Make sure that your pre and post hospitalization claims need to have all the bills in the original.

Include the doctor prescriptions (in original) as supporting documents to all your pre and post-hospitalization bills you are attaching with your claim. Otherwise, UnitedHealthcare Parekh may not pay for those expenses.

Investigation Reports

Your lab investigation reports and scans billed by the hospital have to be reconciled with your reports. So, examine them carefully. Ensure you have all the reports in original. That means the reports have to be printed on the hospital’s or the lab’s letterhead. A report on a plain paper with just the hospital/lab seal may not be accepted by UnitedHealthcare Parekh.

If you miss including any of the reports, UnitedHealthcare Parekh may subtract that amount charged for those investigations or it may raise a query asking you to submit those reports. If you don’t have any reports available, the best thing you could do is add a cover note while filing your claim. The cover note may include a date-wise list all the reports you won’t be submitting because you don’t have them.

For pre and post-hospitalization claims, ensure all investigation/lab bills are supported with the investigation reports. Ensure that each of these reports is backed by the doctor’s prescription on their letterhead or a lab requisition slip. Most claimants make mistakes in this step, because of which they lose a lot of money in their claim.

Accident Details, if Applicable

For accident-related claims, there are additional documents required. Medico-legal Certificate (MLC) from the hospital where treatment was taken and an FIR copy if the accident was reported to the police.

If the accident is due to self-injury, include a letter explaining the details of the injury. Make sure that the letter is signed by the injured person. Self-injury could mean a case of getting hurt while playing or a self-fall.

UnitedHealthcare Parekh TPA Claim Form

All the documents mentioned above need to be submitted along with the claim form. Download UnitedHealthcare Parekh Claim Form for reimbursement.

Download UnitedHealthcare Parekh TPA Claim Form

How to Fill UnitedHealthcare Parekh Claim Form

UnitedHealthcare Parekh reimbursement claim form (Part A) has eight sections – from A to H. Let’s understand how to fill these sections:

Section A-C

Fill section A, B, and C with insurance details of the primary policyholder and the patient. The person in whose name the policy is issued is the primary policyholder. In the case of corporate employees, the employee is the primary policyholder.

Section D

This section is about treatment-related details. Fill information such as nature of treatment (injury or illness), date of admission, the first date when the disease was detected, etc.

Section E-F

Section E and F are for billing details. Categorize the expenses into 3 segments – Pre Hospitalization (before), Hospitalization (during), and Post Hospitalization (post).

Gather your bills and list them in a sequence while categorizing them into segments mentioned above. Then, calculate the Pre, Post and Hospitalization expenses and fill the amounts in the form.

If you want to claim for other expenses incurred like for daily lump sum hospital cash, ambulance, health-check, etc. as per your policy terms, there is a separate field to enter these amounts.

In section F, you need to provide the same information, but it has to be filled a little differently. The pharmacy expenses have to be deducted from the total bill amount and this amount has to be filled separated in section F. The space for 10 bills is provided in the form. If you have more than 10 bills to claim, you can attach a list of the additional bills to your claim form.

Section G-H

Section G is for the bank details of the primary policyholder. You can find the banking details on the bank cheque leaf. Enter the exact bank account holder name and other details as they appear on Cheque / DD. Don’t forget to sign the declaration in Section H.

Avoid common mistakes most claimants make while filling the form, get expert help now!

Sign up

UnitedHealthcare Parekh Claim Submission Timeline

The submission timelines vary from insurer to insurer, but most of them typically fall in the range of 15-30 days to submit your claim after the patient is discharged. If you do not submit the claim on time, UnitedHealthcare Parekh can reject your claim. However, if you have a valid reason for submitting late, explain the reason in a letter and submit it along with the claim. If the reason is acceptable, UnitedHealthcare Parekh may process your claim.

If you think you are going to be late in submitting your claim within the specified timeline, we recommend you prepare and submit your claim with whatever documents you have before the 30 day period ends. When UnitedHealthcare Parekh processes your claim request and finds some documents missing, they’ll raise a query asking you to submit the missing documents. This way you can buy more time to get the missing documents.

Claim Submission Address

Send your claim documents to the TPA centre in your city. Check the addresses of UnitedHealthcare Parekh centres here.

Note: For corporate employees, submit the claim form to the UnitedHealthcare Parekh representative visiting your office.

Once you submit your claim, track the claim status. Check your claim status here.

Most claimants make mistakes while filling the claim form. It could be that they do not have enough information at their disposal, or they are confused about filling the form. When you make mistakes in the claim form you run a risk of delayed payments, reduced payouts or claim rejection.

Frequently Asked Questions

If the hospital admission is planned, intimate the TPA 48 hours prior to the hospitalization. In case of unplanned or emergency admission, intimate United Health Care Parekh Insurance TPA within 24 hours of the hospitalisation.

Typically, it takes 2 to 3 weeks from the date of submission for your claim to get approved. Once that’s done, United Health Care Parekh Insurance TPA intimates the insurance company about the claim approval and the amount that’s approved. The insurance company then credits the amount to the account number mentioned in the claim form. If United Health Care Parekh Insurance TPA raises a query, the claim can get delayed by another 4 to 8 weeks, depending on the nature of the query.

No. You don’t need to fill Part B of the claim form. United Health Care Parekh Insurance TPA’s reimbursement claim form is of one page, which is the same as the IRDA Claim Form part A.

Click!/claimsearch. Enter your United Health Care Parekh Insurance TPA ID to track your claim.

Although the ideal timeframe to submit the claim to United Health Care Parekh Insurance TPA is within 15 days from the date of discharge, it is safe to submit the claim with 15-30 days after the discharge date.

If you are waiting for some documents that are needed to file the claim, and you realize that you are near to the submission deadline, the best thing you could do is submit the claim form within 15-20 days from discharge without those documents. Once the claim is in processing, United Health Care Parekh Insurance TPA will raise a query and request you to submit the missing documents, which you can then arrange and submit.

If, for any reason, you are unable to submit the claim within the specified period, submit it anyways along with a letter explaining the reason for the late submission. If the TPA accepts your reason for the delay, the claim will be processed.

We strongly recommend, regardless of the time elapsed after discharge from the hospital, submit your claim anyways. Give your reasons for the delay in submission and keep your fingers crossed.

Yes. If the cashless claim exhausts the sum insured in United Health Care Parekh Insurance TPA, you can claim the unclaimed amount from your second insurance policy.

Write to United Health Care Parekh Insurance TPA and request for the hard copies of the following documents to be sent to your address: Settlement letter of your cashless claim; attested copies of the claim documents, including hospital bill, discharge summary, payment receipts, bill breakup, lab and other investigation reports. Once you receive these documents, submit them to the second insurance company.

Make the claim form filling process simple.

We're Here to Help

Get 360 degree claim assistance from our in-house claim experts.