SBI Health Insurance Claim Settlement Ratio (CSR) & Claim Process

SBI Claim Settlement Ratio

97.05%

SBI

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. SBI has a claim settlement ratio of 97.05%, as compared to the industry average of 94.21%.

SBI Claim Process

SBI supports both cashless claims and reimbursement claims. This section covers the information on how to check SBI health insurance claim status, fill SBI health insurance claim form, and the claim settlement process.

Step 1: Claim Intimation
Notify SBI General Insurance Company of the accident or illness through a call or SMS. Obtain the claim number/reference number.

Step 2: Pre-Authorization Form
Acquire the pre-authorization form, complete it, and submit it at the SBI Health Insurance network hospital where you are seeking treatment.

Step 3: Document Submission
The hospital will forward all necessary medical documents to SBI or its Third-Party Administrator (TPA).

Step 4: Approval Process
They will meticulously review the submitted documents and decide whether to approve or reject the claim.

Step 5: Claim Settlement
Following discharge, SBI will directly settle the medical bills with the SBI Health Insurance network hospital.

If you are getting admitted in a hospital which is not from the SBI Health Insurance network list then you have to send an intimation within 24 Hrs of hospitalisation.

For reimbursement, settle all bills at the time of discharge, and gather all medical documents.Submit these documents to SBI General Insurance/TPA within the specified timeframe.They will verify the documents and settle the claims within 30 days of receiving them.

For any enquiries - SBI health insurance customer care number is 1800-210-3366/1800 -210-6366 which is a toll-free number for any support on claims.