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Claim Process Document

The document outlines the simplified 7 step claims process for HDFC ERGO health insurance customers. It details the steps to register a claim, submit required documents within 30 days, documents required like bills and reports, claim processing, updates provided, payment via NEFT and important points like correct claim amount and KYC details.

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0% found this document useful (0 votes)
6 views2 pages

Claim Process Document

The document outlines the simplified 7 step claims process for HDFC ERGO health insurance customers. It details the steps to register a claim, submit required documents within 30 days, documents required like bills and reports, claim processing, updates provided, payment via NEFT and important points like correct claim amount and KYC details.

Uploaded by

vishal.sbgames
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SIMPLIFYING THE CLAIMS

PROCESS FOR YOU.


1 Register the claim with us through
Customer care - 0120 6234 6234 / 022 6234 6234
within 7 days from the date of discharge
You can also reach out to us at [email protected]
2 Submit all documents along with duly signed claim
form within 30 days
(Refer the sample claim form to fill the form
correctly) ….....
3 Documents which you need to submit are:
(Refer the sample claim form to fill the form
correctly)........
Duly filled and signed claim form (Important information to
be correctly put like correct policy number, name, email id,
phone number, details of insured person hospitalization,
details of claim )
Discharge summary
Original final bill
Payment receipts
Medicine invoices
Investigation report
Implant sticker/ invoice, if used

Health Insurance

HDFC ERGO General Insurance Company Limited. IRDAI Reg. No.146 CIN: U66030MH2007PLC177117. Registered &
Corporate Office: 1st Floor, HDFC House, 165-166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai – 400
020. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG andused by the Company under license.
Past treatment documents, if any
In case of Accident, Medico Legal Certificate or FIR
NEFT/KYC details are required along with legal heir in case
the proposer has expired

4 We will process all the documents for claim


5 We keep you updated at every step through
sms/email
6 Payment will be made through NEFT
7 You can upload your claims through Self Help portal
on our website www.hdfcergo.com or login to
HDFC ERGO app

Important points to keep in mind when filing a claim.


1. Please remember to mention the correct claim
amount in the claim form
2. If the claim amount is more than 1 lakh - The
KYC form is a mandatory document
3. While filling the KYC form - Please ensure to mention
the Mother's name along with other mandatory fields
(marked as*).
4. Blank cancelled cheque in name of proposer or
nominee incase the proposer has expired.

Health Insurance

HDFC ERGO General Insurance Company Limited. IRDAI Reg. No.146 CIN: U66030MH2007PLC177117. Registered &
Corporate Office: 1st Floor, HDFC House, 165-166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai – 400
020. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG andused by the Company under license.

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