How To Check My Health Insurance Claim Status? - Online & Offline (2024)

The claim process is one of the most crucial aspects of health insurance. The insurance company is not liable to reimburse your medical expenditures unless and until you file a claim to get your guaranteed sum assured amount. You can undergo treatment without worrying about any complications once you have requested to claim your health insurance coverage.

However,it is sometimes necessary to maintain track of your claim process request and customers need to check the status of their claim request, which can be done online or offline. The reimbursem*nt claim procedure takes longer than a cashless claim process, thus policyholders must keep track of their claim progress on a frequent basis.

Let’s know more about how you can check your health insurance claim status!

What Are The Best Ways To Check Your Health Insurance Claim Status?

With the help of the internet, checking the status of a health insurance claim has become a simple and painless task. The steps for checking the status of your claim online as well as offlineare as follows:

ONLINE METHOD

  1. Visit the official website of the insurance company.
  2. On the home page of the website, find the “Claim” or related icon.
  3. Then select the option of “Track Claim Status” or a similar option.
  4. Enter the essential details, such as policy number, customer ID, mobile number, name, etc., and then click on “Submit”.
  5. As requested, the status of your health insurance claim will be displayed on the screen.

OFFLINE METHOD

If you are unable to verify the status of your claim online, you can follow any of the steps belowto check the status of your health insurance claim offline:

  1. You can go toyour insurance company’s nearest branch or office.
  2. You can also inquire about your claim request by calling their customer service or toll-free number.
  3. You can also check the claim process request by sending an email to the insurer’s official email address.

You must also supply some basic information to the insurer when making an offline inquiry, such as your customer ID, policy number, name, and so on. Some health insurance companies have improved their customer service by allowing you to inquire about the claim settlement status of your purchased health insurance policy via SMS or live chat.

What Should You Do If Your Claim Is Rejected?

The rejection of a health insurance claim is a common problem for policyholders. If you have also faced your health insurance claim’s rejection, you need to follow the below-mentioned steps:

  • The first thing you should do is look for problems in the claim form you filed. There’s a chance that the claim rejection you received was due to you providing erroneous or missing information, whether consciously or unknowingly.You can also hire a third-party representative or TPA to help you correct your claim form.
  • Some claims are denied due to system mistakes caused by the claimant’s failure to supply sufficient information. The TPA person can assist you with the solution right away, but make sure you write down all of the contents of the chat and document it if possible.
  • You must review the documents that were sent with the claim form to see whether any errors were made, such as insufficient or wrong evidence, or even a lack of attestation. If you figure out what the issue is, you can solve it by giving enough documents with accurate information and attestation.
  • Get enough opinions from competent medical practitioners to substantiate your claim if the cause for rejection is a medical procedure that was deemed unnecessary.

Health Insurers

  • Aditya Birla Health Insurance
  • Bajaj Allianz Health Insurance
  • Bharti AXA Health Insurance
  • Care Health Insurance
  • Cholamandalam Health Insurance
  • Digit Health Insurance
  • Edelweiss Health Insurance
  • Future Generali Health Insurance
  • HDFC ERGO Health Insurance
  • ICICI Lombard Health Insurance
  • IFFCO Tokio Health Insurance
  • Kotak Mahindra Health Insurance
  • Liberty Health Insurance
  • ManipalCigna Health Insurance
  • Niva Bupa Health Insurance
  • National Health Insurance
  • New India Health Insurance
  • Oriental Health Insurance
  • Reliance Health Insurance
  • Royal Sundaram Health Insurance
  • SBI Health Insurance
  • Star Health Insurance
  • Tata AIG Health Insurance
  • United India Health Insurance
  • Universal Sompo Health Insurance

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Health Insurance Claim Status

How To Check My Health Insurance Claim Status? - Online & Offline (2024)

FAQs

How to check insurance status online? ›

Here's how to check your status:
  1. Through the Insurance Provider's Website: Visit the official website of your health insurance provider. Most offer dedicated portals for policyholders. ...
  2. Using the Provider's Mobile App: Many insurance companies offer mobile apps for easier access. ...
  3. Contacting Customer Care:
Feb 14, 2024

What is a claim status check? ›

Claim Status. A health care claim status inquiry and response transaction is a communication between a provider and a payer about a health care claim. A claim status transaction is used for: • An inquiry from a provider to a health plan about the status of a health.

What information is needed to verify the claim status with the insurance company? ›

The name of the insurance company; The name of the primary insurance plan holder and their relationship to the patient; The patient's policy number and group ID number (if applicable); and. The insurance company's phone number and address.

How might you stay informed of the status of a claim? ›

A claim status letter is a formal communication sent by an insurance company to a policyholder, providing an update on the current status of their insurance claim. This letter is an essential tool in maintaining transparency in the claims process, keeping the policyholder informed and engaged.

How do I track my insurance claim? ›

You must provide a few contact details and the vehicle's registration number to view details about past claims and accidents. You can also contact your insurance company to check the claim history of your current vehicle.

Which app is used to check insurance status? ›

You can visit the Parivahan Sewa website, VAHAN portal, mParivahan app or the IIB portal to check insurance status by vehicle number.

How do I track my online claim status? ›

Step 1: Log in to the UAN Member Portal through UAN and Password. Step 2: Under the 'Online Services' tab, click the 'Track Claim Status' option. Step 3: The status of the withdrawal claim will appear on the screen.

Why my claim status is not showing? ›

Not available - The EPFO apply claim process is yet to be started. Payment under process - The claim is being processed.

Which claim statuses mean the claim has completed processing? ›

Finalized/Forwarded-The claim/encounter processing has been completed. Any applicable payment has been made and the claim/encounter has been forwarded to a Subsequent entity as identified on the original claim or in this payer's records. F3N. Finalized/Not Forwarded-The claim/encounter processing has been completed.

What are the most common errors when submitting claims? ›

Simple Errors
  • Incorrect patient information. Sex, name, DOB, insurance ID number, etc.
  • Incorrect provider information. Address, name, contact information, etc.
  • Incorrect Insurance provider information. ...
  • Incorrect codes. ...
  • Mismatched medical codes. ...
  • Leaving out codes altogether for procedures or diagnoses.
  • Duplicate Billing.

Whose responsibility is it to verify insurance coverage? ›

Presentation of an insurance ID card is not a guarantee of eligibility. The provider is responsible for verifying a member's current enrollment status before providing care. Verification of Benefits allows you to go deeper and find out exactly what is covered by the payer for that patient.

What are the steps in the claim process? ›

Step-by-step procedure to file a claim
  1. Contact your insurer. The first step of claim process is to contact your insurer and intimate about the claim.
  2. Fill your claim form and attach the relevant documents.
  3. A surveyor conducts damage evaluation.
  4. Acceptance of your claim.
  5. Get the claim amount.

Is the most common way to monitor insurance claims today? ›

Expert-Verified Answer. Online platforms or digital systems are the most common way to monitor insurance claims today.

What makes a strong claim statement? ›

To be strong and effective, a claim should be debatable, focused, and specific. In other words, it ought to be something that can be argued with reasons and evidence, and it ought to be narrow enough to properly support or prove in the space and format available.

What does claim status under review mean? ›

If you have a Pending status for any weeks on your UI OnlineSM Claim History, we may need to determine your eligibility or verify your identify. If we need to verify your identity, you'll receive a notice to provide additional documentation.

How can I track all my insurance policies? ›

The details of any of the policies can be accessed at any time by logging on to the online portal of Insurance Repository. Single Point of Service: Service requests in respect of e-Insurance Account or any of the electronic policy can be submitted at any of Insurance Repository's service points.

Can I check life insurance policy online? ›

To help solve this issue, the National Association of Insurance Commissioners (NAIC) created the Life Insurance Policy Locator, a free online tool that helps consumers find their deceased loved one's life insurance policies and annuity contracts.

How to check insurance by passport number? ›

Visit the CCHI website. Choose the inquiry about insurance services. Press the go to service button. Please enter your passport number that was used to issue the insurance policy.

How to check insurance on border number? ›

visit the Council of Cooperative Health Insurance (CCHI) website. enter your 'Border Number' in the Identity Number section. enter the verification code on the image accurately. click on 'OK' to continue.

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