Status of Claims Development and Ageing under Health Insurance Business (Excluding Travel-Domestic/Overseas and Personal Accident Insurance) in India - Part I (2020-2021) | ||||||||||
(Amount : Rs. in Lakh) | ||||||||||
Particulars | For Claims Handled through Third Party Administrator (TPAs) | |||||||||
Only Cashless | Only Reimbursement | Both Cashless and Reimbursement | Benefit Based | Total | ||||||
Number | Amount | Number | Amount | Number | Amount | Number | Amount | Number | Amount | |
Claims Development | ||||||||||
Claims Outstanding at the Beginning of the FY | ||||||||||
New Claims Registered during the FY | ||||||||||
Claims Paid during the FY | ||||||||||
Claims Disallowed | ||||||||||
Claims Repudiated during the FY | ||||||||||
Claims Outstanding at the End of the FY | ||||||||||
Penal Interest Paid | ||||||||||
Ageing of Paid Claims1 | ||||||||||
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 Claims2 | ||||||||||
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 | ||||||||||
Ageing of Outstanding Claims2 | ||||||||||
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 |