Who Will Do it : Policy Holder

What Should be done? Click Here to locate nearest network hospital

Who Will Do it : Policy Holder

What Should be done? Avail cashless at the network hospital by showing your health card and valid photo ID

Who Will Do it : Network Hospital

What Should be done? Hospital will send the cashless request to HDFC ERGO and coordinate with us for the Pre-authorisation form.

We request you to kindly submit the below mentioned mandatory documents as applicable for efficient and faster claim processing:

• Duly filled Pre-authorization form.
• Doctor's prescription with diagnosis, etiology, and recommended line of treatment mentioning hospitalization.
• Investigation reports supporting the patient's diagnosis.
• A detailed cost estimate of expected hospitalization expenses.
• In case of Dengue / Thrombocytopenia, platelet count reports & vital signs related documentation.
• Past medical history.
• In case of accidental claim:
  -- Detailed narration of the incident, including date & time
  -- Medico-Legal Certificate (MLC) copy / causality records from the hospital
  -- First consultation papers issued immediately after the incident
  -- All relevant investigation reports

Who Will Do it : HDFC ERGO

What Should be done? HDFC ERGO/ TPA will scrutinize all the received documents and convey the final stand on the claim.

Who Will Do it : HDFC ERGO

What Should be done? You will receive an update through SMS/Emails at every stage of the claim on your registered mobile number or email id.

Who will do it: HDFC ERGO & Network Hospital

What should be done? Hospital shall send the final bill to HDFC ERGO for authorisation and HDFC ERGO shall scrutinize the same and give final authorization in case of approved transactions to the hospital. Any inadmissible expenses, copayments, deductions will have to be paid by you.

On receipt of complete documents, the claim would be processed in 1 hour from the time the last document is received.
(Please note In case of internal verification the final stand will be confirmed within 48 hours from the time the last document is received by HDFC ERGO/ TPA)