{"id":1175,"title":"HEALTH INSURANCE INDEMNITY POLICIES - CASHLESS & REIMBURSEMENT CLAIM PROCEDURE & TURN AROUND TIME","purpose":"claim","insurer":{"slug":"shriram-general-insurance","name":"Shriram General Insurance Company Limited"},"source_pdf":"https://cdn.shriramgi.com/webassets/download/health-form/051077dd-4830-46b3-9485-3ffe408aca5e_HEALTH%20INSURANCE%20INDEMNITY%20POLICIES%20-%20CASHLESS%20&%20REIMBURSEMENT%20CLAIM%20PROCEDURE%20&%20TURN%20AROUND%20TIME.pdf","sha256":"99e0d3e0f744b2bb5ac2516f83833f0f765a1d85cd0f6a1388d46ab63db25bed","pages":4,"collected":"2026-10-17","instructions":{"about":"This form explains the procedures for making cashless or reimbursement claims under indemnity health insurance policies. It is intended for policyholders and hospitals involved in the claim process.","notes":["Use original bills and documents only","Check and sign original bills and discharge summary at discharge","Collect copies of signed bills, discharge summary and investigation reports for reference","You will be informed of claim status by email or SMS to registered contact details","You can track your claim status online at https://mediassisttpa.in/track-claim/","Cashless requests will not be entertained if hospital is excluded by insurer","Cashless facility at non-network hospitals is subject to hospital and insurer agreement"],"title":"HEALTH INSURANCE INDEMNITY POLICIES - CASHLESS & REIMBURSEMENT CLAIM PROCEDURE & TURN AROUND TIME","submit":{"to":"Nearest Medi Assist India TPA Branch or online via Medi Assist website","how":"In person or online upload","address":"https://www.mediassisttpa.in/contact/ and https://m.mediassist.in/intimatereimbursement.aspx"},"purpose":"claim","sections":[{"title":"Cashless Claim Process from Network Hospitals","fields":[{"help":"Ensure you have this card before hospital admission","type":"text","label":"Enrollment-card issued by Third Party Administrator (TPA), Medi Assist","options":[],"required":null,"pdf_field":""},{"help":"Form available at hospital or online from Medi Assist or SGI websites","type":"attachment","label":"Fill up the preauthorization form for cashless hospitalization along with your treating doctor","options":[],"required":true,"pdf_field":""},{"help":"Notify within these timeframes depending on hospitalization type","type":"choice","label":"Claim Intimation","options":["48 hours prior for Planned Hospitalization","Within 24 hours of admission for Emergency Hospitalization"],"required":true,"pdf_field":""}],"filled_by":"policyholder and hospital"}],"deadlines":["Claim Intimation needs to be given 48 hours prior for Planned Hospitalization (cashless)","Claim Intimation needs to be given within 24 hours of admission for Emergency Hospitalization (cashless)","Claim Documents should be submitted within 15 days from the Date of Discharge (reimbursement)","Notification of Claim Notice within 24 hours from emergency hospitalization or before discharge","Notification at least 48 hours prior to admission in case of planned hospitalization","Claim settlement or rejection within 15 days from receipt of last necessary document"],"applies_to":"indemnity health insurance policies for cashless and reimbursement claims","attachments":["Preauthorization form for cashless hospitalization","Original Hospital discharge summary","Original Hospital main bill and breakup","Original payment receipts","Doctor’s prescription","Consultation bill/ Receipt & Pharmacy bills","Investigation Reports & bill/ Receipt","Operations theatre notes (if any)","Bank cancelled cheque / Passbook photocopy","ID proof, Age Proof and address proof (Copy of DL, PAN card, Aadhaar card, Voter ID etc.)","CKYC form if claimed more than 1L","Any other documents (if required)"],"declarations":["In case of suppression or misrepresentation of material facts by hospital or insured, preauthorization for cashless facility will be cancelled and insured liable to settle hospital bill in full","Non-medical expenses are not payable as per policy terms and conditions","Expenses incurred at excluded providers are not admissible for cashless or reimbursement claims"],"dropped_labels":9},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"chd@shriramgi.com","label":"Help Desk Email ID for claim intimation","level":null,"hours":null,"applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"ase download the CLAIM INTIMATION SHEET, fill it and send it to our Help\n                            Desk via Email ID (chd@shriramgi.com)\nNote:\nPlease ensure that the following information is ready with you at the time of\n                            claim","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-300-30000","label":"Customer Help Desk Toll Free","level":null,"hours":"7 Days in week 4:00 AM to Midnight 12:00","applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"Option 1:\nIntimate a claim online on Shriram General Insurance website or over the\n                            phone at 1800-300-30000/1800-103-3009 or through the MYSGI App\nOption 2:\nPlease download the CLAIM INTIMATION SHEET, fill it and send it to our","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-103-3009","label":"Customer Help Desk Toll Free","level":null,"hours":"7 Days in week 9:30 am to 5:30 pm","applies_to":"all","source_url":"https://www.shriramgi.com/claims","quote":"ate a claim online on Shriram General Insurance website or over the\n                            phone at 1800-300-30000/1800-103-3009 or through the MYSGI App\nOption 2:\nPlease download the CLAIM INTIMATION SHEET, fill it and send it to our Help","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/shriram-general-insurance/1175-health-insurance-indemnity-policies-cashless-and-reimbursement-claim-procedure-a"}