Claim Samadhan Diwas - Settling Disputed Claims in Real Time

₹1000 Cr worth of claims assisted in 2022-2023

How we helped our customers

What is Claim Samadhan Diwas?

Claim Samadhan is a unique initiative by Policybazaar where genuine health insurance claims rejected because of incomplete documentation or a dispute between the customer and insurer are resolved in real-time. With this initiative, Policybazaar brings the insurer and the customer face-to-face to settle cases of genuine claims. The Claim Samadhan Diwas is organized once in every two months.

In the last 1.5 years, Policybazaar has organized Claim Samadhan Diwas with almost every large insurer and settled thousands of stuck claims.

Claim Samadhan Diwas Initiative at a Glance (As of 16th May 2024)
Total Customers Invited	4000+
Total Claim Amount Approved	₹24 crore
Locations Covered	PAN India

How Does Claim Samadhan Work?

In most cases, a health insurance claim is rejected because of non-disclosure of an existing illness or incomplete/incorrect documentation on the part of the policyholder/ hospital and improper review of documents by the insurer. Under the Claim Samdhan initiative, Policybazaar has set up a panel of expert doctors and a dedicated claims expert team that help bridge this gap to ensure that genuine claims are approved successfully.

Let us understand Claim Samadhan Diwas better with the following case.

Recently, one of our customers purchased a ManipalCigna health insurance policy and raised a cancer claim 3 months after taking the policy. However, the insurer rejected the claim based on non-disclosure of pre-existing disease. The customer then approached Policybazaar, insisting that the insurer had denied his genuine claim. After carefully verifying all the necessary medical records, it was found that the customer was diagnosed with cancer after purchasing the policy, and hence, it was not a case of pre-existing disease.

Policybazaar invited the customer and ManipalCigna Health Insurance Company to resolve the case in real time as part of the Claim Samadhan Diwas. The insurer reassessed the medical documents of the customer and the claim was successfully approved.

Let's Wrap

At Policybazaar, fast-tracking claim settlement has been a top priority. The Claim Samadhan Diwas allows customers to interact with our insurer partners in person alongside a Policybazaar Claims Expert and expedites the process of reopening and settling stuck claims in real time, thus enhancing the customer experience. Moreover, this flagship initiative helps to improve customer trust in the efficacy of Health Insurance and ensure 'Har Family Hogi Insured'.

Health insurance companies

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Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in