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Tata AIG Health Insurance Claim Settlement
An insurance company’s goodwill depends upon its claim settlement efficiency. The faster the claim settlement, the better the reputation. Tata AIG Health Insurance Claim Settlement has a fast and efficient claim settlement team that works for the good of the customer. With a claim settlement ratio of 75.56%, Tata AIG believes in serving each query personally to maintain the popularity of the company.
Documents Required for Claim Settlement
Here are some of the main documents required for the Tata AIG claim settlement process:
- 01
Claim Form
Duly filled and signed Tata AIG claim form.
- 02
Policy Copy
Tata AIG health card or policy document.
- 03
Medical Documents
Discharge summary, doctor’s prescriptions, test and investigation reports.
- 04
Bills & Receipts
Hospital bills, surgeon’s bills, and payment receipts.
- 05
KYC & Bank Details
NEFT details and KYC documents.
- 06
Legal Papers (if accident)
FIR, self-declaration, or Medico Legal Certificate (MLC).
Health Insurance Plans By Tata AIG
Process for Tata AIG Health Insurance Claim Settlement
There are different steps for different claim settlement situations:
Planned Hospitalisation
When you already know the date of surgery or treatment:Step 1: Send the cashless claim form by email or letter at least 5 days before admission.Step 2: Tata AIG sends a cashless claim approval letter (valid for 7 days).Step 3: On admission day, show your health card and the confirmation letter.Step 4: Then, Tata AIG pays the hospital directly.
Emergency Hospitalisation
For sudden cases like accidents: Step 1: Call Tata AIG within 24 hours of admission to get a Claim Intimation. Keep ready:Insurance card or policy copyPhoto ID & address proofFilled CKYC form (if claim is above ₹1 lakh)Step 2: The hospital fills and sends the cashless claim request.Step 3: Tata AIG issues an authorization letter to the hospital.Step 4: Tata AIG settles the bill directly. If rejected, you will get an SMS/email.
Reimbursement Claim
If cashless is not available or the hospital is outside the network:Step 1: Ensure all details on hospital bills are correct.Step 2: Collect documents such as claim form, insurance card, doctor’s certificate, test reports, discharge card, all original bills, pharmacy bills, investigation reports, FIR (if accident), NEFT bank details, CKYC form (if claim ❭ ₹1 lakh).Step 3: Some papers may take a few days. The policyholder should collect them all.Step 4: Send documents to “TAGIC Health Claims, TATA AIG General Insurance Co. Ltd., 5th-6th Floor, Imperial Towers, H.No 7-1-6-617/A, GHMC No-615,616, Ameerpet, Hyderabad - 500016, Telangana.”Step 5: Tata AIG or the TPA reviews and pays within about 21 days. You’ll be informed if more details are needed or if the claim is rejected.
FAQs
It is the percentage of claims that Tata AIG settles successfully out of the total claims received. A higher ratio means the company settles most claims efficiently.
You can check your claim status online on the Tata AIG website, through the TPA portal, or by calling their customer care.
Cashless claims are usually processed within a few days after hospital submission. Reimbursement claims may take about 21 days after all documents are submitted.
You will need your policy number, claim reference number, and personal details like name and contact number.
No, the claim settlement ratio shows the company’s reliability but does not impact your premium.