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STAR HEALTH

CLAIMS PROCESS
CASH LESS CLAIMS
Cashless claim can be made at any of our network hospitals across the
country. Provide your Star Health ID card at the hospital reception. After
we receive a request from the hospital for authorisation of the treatment
and expenses thereof, this will be accepted as per terms and conditions of
the policy.
• Documents for Claim Submission:
• Health card
• 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 documents
• Documents other than the Health Card should be submitted in original.
DOCUMENTS TO BE SUBMITTED FOR CLAIMS PROCESS

• Health card
• 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 documents
• Documents other than the Health Card should be
submitted in original
AUTHORISATION PROCESS
• Upon receiving intimation from
the insured/insured’s attender, and are
contacted by the network hospital, Star Care
will verify the validity and coverage of the
policy. A field visit doctor is deputed to
facilitate the pre authorisation document
request and to confirm the warranting
treatment. Accordingly, our medical team
approves cashless for the insured person
subject to policy terms and conditions.
IMPORTANT CONDITIONS
• If details are not completely filled, the
authorisation request will be cancelled.
• Non-payable items would be at the insured's
own cost.
• All claims to be submitted within 30 days from
the date of discharge
• Post hospitalisation claims may be submitted
within 30 days from date of discharge
How to make intimation in case of an admission?

• In case of emergency, Star Health needs to be


intimated within 24 hours of the accident/
illness/ hospitalization. Intimation can be
given either through contacting us at 1800
425 2255/ nearest office of Star Health.
Mention the Star Health ID number/Policy
number for easy reference.
Procedure for Reimbursement of Claim

• All claims need to be intimated within 24 hours of


hospitalisation. Reimbursement facility is
available at network hospitals as well as non-
network hospitals
• Avail treatment, settle all bills and file a claim for
reimbursement.
• Submit the claim documents to the company
within 30 days from the date of discharge.
• To receive the claim form, cite your policy
number and intimate Star Health about
hospitalisation.
IMPORTANT CONTACT NUMBERS
• CALL CENTER : 1800 425 2255
• BRANCH OFFICE: 040 42204151
• CONCERNED SM : 9603120846

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