Status of Claims Development and Ageing under Health Insurance Business (Excluding Travel-Domestic/Overseas and Personal Accident Insurance) in India - Part I (2017-2018) | ||||||||||
(Rs. in Lakh) | ||||||||||
Details of Claims Development | For Claims Handled Through TPAs | |||||||||
Cashless@ | Reimbursement# | Both Cashless and Reimbursement$ | Benefit Based | Total | ||||||
Number | Amount | Number | Amount | Number | Amount | Number | Amount | Number | Amount | |
Claims Outstanding at the Beginning of the Financial Year | ||||||||||
New Claims Registered During the Financial Year | ||||||||||
Claims Paid During the Financial Year | ||||||||||
Claims Repudiated During the Financial Year | ||||||||||
Claims Outstanding at the End of the Financial Year | ||||||||||
Penal Interest Paid | ||||||||||
Ageing of Outstanding Claims* | ||||||||||
Claims Outstanding within 1 Month | ||||||||||
Claims Outstanding between 1-3 Months | ||||||||||
Claims Outstanding between 3-6 Months | ||||||||||
Claims Outstanding between 6-12 Months | ||||||||||
Claims Outstanding between 1-2 Years | ||||||||||
Claims Outstanding beyond 2 Years | ||||||||||
Total | ||||||||||
Ageing of Paid Claims** | ||||||||||
Claims Paid within 1 Month | ||||||||||
Claims Paid between 1-3 Months | ||||||||||
Claims Paid between 3-6 Months | ||||||||||
Claims Paid between 6-12 Months | ||||||||||
Claims Paid between 1-2 Years | ||||||||||
Claims Paid beyond 2 Years | ||||||||||
Total | ||||||||||
Ageing of Repudiated Claims*** | ||||||||||
Claims Repudiated within 1 Month | ||||||||||
Claims Repudiated between 1-3 Months | ||||||||||
Claims Repudiated between 3-6 Months | ||||||||||
Claims Repudiated between 6-12 Months | ||||||||||
Claims Repudiated between 1-2 Years | ||||||||||
Claims Repudiated beyond 2 Years | ||||||||||
Total |