Are cashless claims applicable from day 1?
In the event of an accident, claims can be honoured from day 1, for any other hospitalisation, there will be a waiting period of 30 days. …
FAQ Category: Group Health Insurance Claim
Will there be communication to the claimant on claim status and what will the mode of communication?
Claimant will get regular updates on claim status through Onsurity’s insurance partner.
If there is any shortfall of documents, how will the claimant get intimated, and further what is the process to submit documents?
Claimant will get regular updates on claim status through Onsurity’s insurance partner. Claimant can submit documents to the insurer or reach Onsurity and they shall take it up from there.
In how many days the amount will be credited to the insured person?
Assuming receipt of all the required documents – life cycle of a claim from receipt of documents to payment/denial /query may take up to 14 working days. Post …
How long will it take to process the claim?
Assuming receipt of all the required documents – life cycle of a claim from receipt of documents to payment/denial/query may take up to 14 working days.
If the originals are required, where should those be couriered? Will the payment be held until originals are validated?
As a standard procedure original physical copies are not required. In case such need arises the same would be intimated to the insured with the …
What happens if a medical claim is denied by the Insurance company, will I be compensated by Zolo or Onsurity?
As per the terms and conditions of the Onsurity’s partner insurance company, there are certain standard waiting periods and exclusions. Any other permissible illness will be covered …
How will you determine if the documents submitted are genuine?
There are checks and balances built-in across the ecosystem which operate on soft copies for submission of claims. There are built-in triggers in the system …
Does the insurance company not require original documents?
Onsurity’s insurance partner requires scanned copies of the original documents to process the claim. They do not require physical documents. However, in cases where the insurer feels …
Will the member get regular update on claim status and what is the mode of communication?
Member will get regular updates on claim status through Onsurity’s insurance partner. In addition to this, Onsurity’s Good Doctors Team’ would be in contact with the claimant throughout the process.