Niva Bupa Health Insurance Claim Settlement Ratio

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Health insurance is one of the most critical aspects of a person's life. It protects you against all medical emergencies, offering financial security and peace of mind. Niva Bupa health insurance has been in the business for a while now and knows the importance of good health. But more importantly, buying a health insurance plan is not limited to just buying, the main thing is the claim settlement. Whether or not your health insurance claim is satisfied. Insured people with Niva Bupa health insurance have access to a vast network of more than 7,000 hospitals where they may receive cashless care for either scheduled or unplanned hospitalisation. The insured must pay out of pocket at the hospital if the treatment is received in a non-network facility and then submit a reimbursement claim. Let us look at the Niva Bupa health insurance claim settlement ratio, process, and other essential details. 

What is Claim Settlement Ratio?

The "claim settlement ratio" (CSR) is so-called. It is a ratio that shows the proportion of claims insurance companies settles compared to the overall proportion submitted within a given time frame. Let's use a health insurance firm as an example, which has received about 100 claims during the past three months. Assume that out of these 100 requests, the corporation has granted 70. When claims are approved, they are resolved. The claim settlement ratio is thus 70%. The remaining claims may need to be resolved for two reasons: they may still be pending claims, or the insurance company may have denied them as invalid claims.

Niva Bupa Health Insurance Claim Settlement Ratio

Niva Bupa health insurance has a claim settlement ratio of 99.99. Look at the table below to understand Niva Bupa Health's claim settlement ratio.

Status of Niva Bupa Health Claim Settlement ratio- 2021-22
Age Analysis of Number of Claims Paid (%) < 3 months three months to 6 months six months to <1 year 1 year to <3 year 3 years to <5 years five years
Claims Settled 99.99 0.01 0.00 0.05 - -

Niva Bupa Claim Settlement Process

Niva Bupa health insurance offers two simple ways to file claims. Below we have explained both the claim processes of Niva Bupa health insurance in detail:

Cashless Claim Process

The process for making a cashless claim is straightforward and practical. Please use the customer service URL or call the toll-free number 1860-500-8888, available around the clock if you have a claim. 

  • Go to the official website of Niva Bupa Health Insurance.
  • Click on the Claim section.
  • Go through the process mentioned by Niva Bupa.

Reimbursement Claim Process

The procedure is easy and convenient. Organising your paperwork is the first step. Original policy papers must be used. The claim request is entered into the Niva Bupa account in the second step after logging in. Just upload the documents and submit them in the last step. Your claim will be handled if you follow the procedures.