Health insurance claim

When it comes to health emergencies, dealing with insurance claims should be the least of your worries. At Okbima, we are committed to making your claims process smooth and stress-free. Whether you’re opting for a cashless claim or a reimbursement claim, our expert team ensures you’re guided every step of the way.

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Cashless Claim Process

Cashless claims enable you to get treatment at a network hospital without paying upfront. With Okbima’s streamlined process, you can focus on your recovery while we take care of the rest.

How to Make a Cashless Claim
  • 1

    Claim Intimation & Registration

    Inform the insurance company or Okbima adviser about your hospitalisation. You can reach us by phone at (+91 120 455 5217) or email us at info@Okbima.com. Share the following details with the insurance company or with us for quick registration:

    • Patient Name
    • Date of Admission
    • Hospital Name & Address
    • Diagnosis/Illness
    • Estimated Claimed Amount
  • 2

    Documentation

    Submit your documents at the hospital's TPA (Third Party Administrator) desk to initiate the cashless claim process. Required documents include:

    • Pre-Authorisation Form (filled out by the hospital)
    • Date of Admission
    • Cashless Policy Health Card
    • ID Proof
    • Medical Reports with Doctor’s Prescription
  • 3

    Claim Decision (Approval)

    Your claim will be reviewed, and a decision will typically be made within 2 hours. In case of delays, you can contact Okbima’s dedicated helpdesk for expedited settlement.

Reimbursement Claim Process

If you opt to pay for your treatment upfront, Okbima will ensure that the reimbursement process is just as easy. Submit your medical bills and supporting documents to the insurance company or us.

How to File a Reimbursement Claim
  • 1

    Claim Intimation & Registration

    Notify the insurance company or your Okbima adviser at (+91 120 455 5217) or info@Okbima.com within 24 hours of hospitalisation. Share these details:

    • Patient Name
    • Date of Admission
    • Hospital Name & Address
    • Diagnosis/Illness
    • Estimated Claimed Amount
  • 2

    Documents Submission

    Submit the required documents online or offline to the insurance company. Our team is available to assist you with this process. The essential documents include:

    • Duly signed Claim Form (Parts A & B)
    • Patient’s Photo ID Card (copy)
    • Hospital Discharge Summary and Operation Theatre Notes
    • Itemised Hospital Bills
    • Payment Receipts
    • Investigation Reports (e.g., X-Ray, MRI, CT Scans)
    • Pharmacy Bills
    • Personalised Cancelled Cheque
  • 3

    Claim Decision

    Based on your policy terms and conditions, the insurance company will:

    • Approve the Claim: If all documents are complete and the diagnosis is covered.
    • Raise a Query: This is for incomplete or additional documentation.
    • Initiate Investigation: To verify the authenticity or check for pre-existing conditions.
    • Reject the Claim: Due to policy exclusions or incomplete documentation.

At Okbima, we pride ourselves on being your trusted insurance partner. Here’s how we ensure a smooth insurance claims experience:

  • 1

    Fast Claim Settlement

    We prioritise your claim, ensuring quick approval and settlement, regardless of working hours.

  • 2

    Seamless Communication

    Our helpdesk team works closely with insurance companies to resolve any queries or documentation issues on your behalf.

  • 3

    Real-Time Updates

    Stay informed at every stage of the claim process, from initiation to approval and discharge.

  • 4

    Advance Approvals for Cashless Hospitalisation

    We assist in obtaining advance approvals, enabling smooth and worry-free treatment.

  • 5

    Dedicated Claims Support Team

    Our claims experts provide personalised assistance, guiding you through every step of the insurance claims journey.

  • 6

    24/7 Customer Support

    With Okbima, you have round-the-clock access to a dedicated relationship team for:

    • Policy Purchase
    • Policy Renewal
    • Endorsements
    • Claims Assistance
    • Health Check-Up Services

Experience Effortless Claims with Okbima

Need Help?

At Okbima, your peace of mind is our priority. Whether you’re navigating the cashless claim process or submitting documents for reimbursement, we ensure a hassle-free experience every time.

Okbima: Simplifying Insurance, One Claim at a Time.

Health Insurance Companies

Care Health Insurance
Niva Bupa Health Insurance
Star Health Insurance
Aditya Birla Health
Bajaj Allianz
Reliance General Insurance
Royal Sundram General Insurance
Future Generali Health Insurance
HDFC ERGO
Universal Sompo
Zurich Kotak General Insurance
SBI General Insurance

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FAQ's

Cashless: Insurer pays hospital directly.
Reimbursement: You pay first, then claim.

Contact the insurer or Okbima at (+91 120 455 5217) or info@okbima.com with patient and hospital details.

Usually within 2 hours after submitting required documents.

Health policy card, pre-authorization form, ID proof, and medical reports.

Signed claim form, ID, discharge summary, bills, receipts, reports, and a canceled cheque.

Yes, through reimbursement with all necessary documents.

Additional documents may be needed. Okbima helps with resolution.

Policy exclusions, missing documents, uncovered conditions, or delayed intimation.

We help with claim registration, documentation, queries, and fast approvals.

Contact the insurer or Okbima at (+91 120 455 5217) or info@okbima.com.