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Travel - Cashless Claim Process

Customer approach Bajaj Allianz for Cashless

Treatment through call/mail/fax

Bajaj Allianz team explain claim procedure to insured and

request to provide required documents

Bajaj Allianz verifies the documents once receive from facility/insured

with policy coverage and convey the decision to insured/facility

Query letter is sent to insured/provider asking for additional informationGuarantee of payment letter is

sent to the provider

Required additional information received fromthe Provider

Denial letter is sentto the provider and insured

Provider treats patient as cash paying

Approved Denial

Provider treats the patient without any deposit

till discharge

Query

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Travel- Reimbursement Claim Process

Scrutiny of claim documentsVerification of - Policy Benefits - Date of Loss - Requisite documents

Deficient(Additional documents required

to decide upon the claim admissibility)

Repudiated(Claim not admissible- not within the

purview of the policy)

Approved(Claim admissible under the

purview the policy)

Intimation of thedeficiency

is sent to the client

Repudiation lettersent to client

Payment released to the client through

NEFT in Indian bank account

Required documents received

Required documents not received

Reminders sent to the insured at an interval of 15 days after intimation

Required documents not received after 3 reminders

Claim repudiated under non submission of documents post three Reminders, Claim repudiation letter is sent to the client

Customer collects medical documents from facility and submit to BAGIC- HAT