Status of Claims Development and Ageing under Health Insurance Business (Excluding Travel-Domestic/Overseas and Personal Accident Insurance) in India - Part I (2019-2020) | ||||||||||
(Number in Actuals; Amount : Rs. in Lakh) | ||||||||||
Details of Claims Development | For Claims Handled through TPAs | |||||||||
Only Cashless | Only 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 FY | ||||||||||
New Claims Registered during the FY | ||||||||||
Claims Paid during the FY | ||||||||||
Claims Repudiated during the FY | ||||||||||
Claims Outstanding at the end of the FY | ||||||||||
Penal Interest Paid | ||||||||||
Ageing of Outstanding Claims1 | ||||||||||
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 Claims2 | ||||||||||
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 Claims1 | ||||||||||
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 |