A Complete Guide to Online Claim Submission

What does this Online Claim Submission Guide Cover?

Types of claims you can submit online?
Why opt for online claims submission?
How to submit your Cashless Claims online?
What is eCashless or Planned Hospitalization?
What is Emergency Hospitalization?
All you need to know about reimbursement claims
How to activate your Medi Assist Retail & Agent account?
An easy guide to tracking your claims online
Is the online claims submission secure?
FAQs on the online claim submission

Here's a complete guide on online claims submission at Medi Assist

Types of claims you can submit online?

Submitting your claims is now easy and hassle-free with Medi Assist's online claims submission process. Our online claim submission process allows you to submit your claims through our Medi Assist portal to enable seamless submissions and faster processing of your claims.

Why opt for online claims submission?

How to submit your Cashless Claims online?

You can submit cashless claims online. Cashless hospitalization is a facility provided by the insurance company where the policyholder can get admitted and undergo necessary treatment without paying the hospital directly for the medical expenses.

Cashless hospitalization can be availed only at a hospital that falls within your insurer network, upon approval of your pre-authorization application. After activating your Medi Assist portal, follow the steps below to avail cashless claims ONLINE.

What is eCashless or Planned Hospitalization?

eCashless hospitalization is provided by the insurance company where the policyholder can get admitted and undergo necessary treatment without paying the hospital directly and the eligible medical expenditure which is incurred is settled with the hospital by the insurance company directly.

What is Emergency Hospitalization?

In case your treatment is not planned 72 hours before hospitalization, Emergency Hospitalization can be availed by searching for a Network Hospital in your TPA's network. Post which, during hospitalization, present your Medi Assist E-card along with any other valid Government ID

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All you need to know about reimbursement claims

Reimbursement, as the dictionary mentions, is compensation paid for money already spent. With respect to a Mediclaim policy, reimbursement claims mean you pay the hospital bills first and get them compensated from the insurance company at a later stage.

Reimbursement Claims can also be submitted ONLINE now. So you don't have to go through the hassle of mailing them to our office addresses anymore. Instead, you can simply scan your original documents and upload them on the Medi Assist Portal.

List of documents to furnish

Here's a round-up of all the proof or documents you need to furnish to put your reimbursement on the fast track and make the process hassle-free.

Original hospital final bill
Original numbered receipts for payments made to the hospital
The complete breakup of the hospital bill
Original discharge summary
All original investigation reports along with prescriptions
All original medicine bills with relevant prescriptions
Original signed Reimbursement claim form(Part ‘A' should be filled and signed by the claimant, and Part ‘B' should be filled and signed by Hospital Authority with Seal.)
Copy of Govt. ID proof of Patient and PAN card of Proposer.
Canceled cheque or Passbook copy or Bank statement (containing IFSC, Account No, and Account holder name) of Proposer
Copy of the Medi Assist ID card/ current policy copy and previous years' policy copies (if any)
Covering letter stating your complete address, contact numbers, and email address (if available).*
* If your insurer needs you to send the original hospital bills and documents, the same will need to be couriered to us within 15 days of claim submission online. You can courier them to your nearest Medi Assist office. You can check the list of branches here: https://www.mediassisttpa.in/contact.html

How to activate your Medi Assist Retail & Agent account?

Activating your Medi Assist account is SIMPLE with ONLINE. For agents and individual policyholders, just follow the steps in the blog below.

An easy guide to tracking your claims online

You can know the status of your claim in real-time. All you need to do is follow a few simple steps:

You can use your mobile browser to log into the Medi Assist portal and track your claim.

Note: If any of the documents submitted are invalid or missing, we will notify you immediately, and you can update them through the portal or app itself.

Track your claims ONLINE with the Medi Assist Portal. There are multiple ways to track your claims in real-time. Choose the method of your preference and track claims in real-time.

Is the online claims submission secure?

In a world where everybody is highly cautious about the whereabouts of their personal and professional data, it is important to safeguard your health insurance policy sum insured from online fraudsTherefore, it is always in Medi Assist's best interests to ensure that data on our platform is protected for all employees, partners, members, and stakeholders through contact verification and Sum Insured (SI) Protect.

Submitting your claims online will allow you to leverage claim security right from the comfort of your homes. After you log in to your account, an OTP is sent to your registered contact number. Then, post entering the OTP on the portal, you can access your account.

ONLINE claim submission is SECURE. With Sum Insured Protect and Contact Verification, you don't have to worry about your data.

FAQs on the online claim submission

Find answers for all your questions or queries that you might have on our FAQ blog for ONLINE Claim Submission.