Claims Investigation, Settlement & repudiation a) We may investigate Claims at Our own discretion to determine the validity of a Claim. This investigation will be conducted within 15 days of the date of assigning the Claim for investigation and not later than 6 months from the date of receipt of Claim intimation. All costs of investigation will be borne by Us and all investigations will be carried out by those individuals/entities that are authorised by Us in writing.
Claims Investigation, Settlement & repudiation. Section C – Benefits Ambulance Charges a. Original Bill from a certified Ambulance Service Provider or Hospital Accidental Hospital Daily Cash Benefit a. Discharge Summary of Hospital b. Original hospitalisation Bills & Investigation reports stating cause of Hospitalisation Accidental Hospitilization (inpatient) a. Original copies of Hospitalization bills, Consultations, investigation reports & bills, prescriptions and invoices, Discharge card issued by hospital OPD Treatment a. Original copies of Consultations, Hospital bills, receipts, investigation reports & bills, prescriptions and invoices Accidental Dental Expenses a. Original copies of medical bills, Consultations, investigation reports & bills, prescriptions and invoices Convalescence Benefit a. Discharge Summary of Hospital b. Original hospitalisation Bills & Investigation reports stating cause of Hospitalisation Xxxxx Benefit a. Certificate from the treating doctor certifying the extent of xxxxx injury, Copy of treatment papers Broken Bones Benefit a. X-Ray/ MRI/ CT-Scan/ Radiology Films/ Reports confirming the extent of fracture, Copy of treatment papers Coma Benefit a. Certificate from the treating doctor certifying the cause and severity of Coma Domestic travel for medical treatment a. Original invoice of the ticket expenses incurred b. Prescription from the medical practitioner stating the line of medical treatment and city where medical treatment needs to be sought and its unavailability in the current city of treatment
