Sample Data Format
 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                     
 
 
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