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Please submit and verify your policy details

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Corporate policy ?

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Date of Birth

*Please ensure that you are ready with the scanned copy of the claim documents as per claim submission check list.

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My Claims

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My Claims

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Personal Details

Policy/COI/Membership Number

Select Member

Gender

DOB of the insured

Contact Details

Mobile number

Address

Hospitalization details

Category of Claim ?

Main Claim Number

Reassure- Smart Health Acute Care Best Care

Cause of Hospitalization

Hospital City

Consultation ID

Hospital Name

Date of Admission

Date of Discharge

Total Claim Amount

Bank Details

Account Holder Name

Account Number

Confirm Account Number

IFSC Code

Upload documents

*Please ensure the upload file is not very large. Keep the file size up to 5 mb. The allowed file formats are jpg, jpeg, gif, pdf ,png & tiff.

My Uploaded Documents

Discharge summary* ? Download Sample

OPD Prescription* ? Download Sample

Hospital bill & Payment details* ? Download Sample Download Sample

Investigation & lab reports* ? Download Sample

Other documents ?

Upload below mentioned documents

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Cancelled Cheque* ?

KYC document* ?

PAN card

Latest Passport Photo

I hereby declare that the benefits paid under this claim shall not be claimed from anywhere else in any form. Further, Niva Bupa Health Insurance Company reserves the right to ask for original claim documents for processing of claims wherever necessary.

I hereby declare that the information furnished by me under this claim is true & correct to the best of my knowledge and belief. If I have made any false or untrue statement, suppression or concealment of any material fact with respect to questions asked in relation to this claim, my right to claim reimbursement shall be forfeited. I give my consent to appointed representative of Niva Bupa Health Insurance Co. Ltd. to verify and collect necessary documents or statements from any hospital or medical practitioner whom I have consulted in past as part of verifying submitted claim authenticity. I hereby declare that I have included all the bills /receipts for the purpose of this claim & that I will not be making any supplementary claim except the pre/post hospitalization claim, if any.

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Dear , Thank you for submitting your claim.
The reference number is .
Please note, Claim ID will be generated within 48 hours and shared via SMS. Kindly use claim Id to check Claim status and for all your interactions with Niva Bupa.

Should we need the physical documents to process your claim, we will get in touch with you. Please keep the documents safe.

success

Dear , Thank you for filing your claim. Your claim has failed due to some server issue. Please try later.

success

Dear , Thank you for filing your claim. Your claim has failed due to some server issue. Please try later.

success

Please make sure you review all the uploaded documents before you submit your claim.

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SUBMIT ADDITIONAL DOCUMENTS

Please enter the Claim ID to submit the missing information documents.

DOCUMENTS REQUIRED

Document format accepted are jpg, jpeg, gif, pdf, png & tiff.
Maximum size per document allowed is 5 MB.
Up to 7 Documents can be added.
Check the query letter received for the list of additional documents required.

Missing Documents

Documents Required

Please submit the following documents to process your claim

Instruction Keep the file size up to 5MB. The allowed file formats are jpeg, png, pdf, and tiff

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Missing Documents

Discharge_pdf

Please make sure that you have uploaded and reviewed all the missing documents required.

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