Status of Claims Development and Ageing under Health Insurance Business (Excluding Travel-Domestic/Overseas and Personal Accident Insurance) in India - Part II (2017-2018) | ||||||||||||
(Rs. in Lakh) | ||||||||||||
Details of Claims Development | For Claims Handled Directly | Grand Total (Direct+TPA) | ||||||||||
Only Cashless @ | Only Reimbursement # | Both Cashless and Reimbursement $ | Benefit Based | Total | ||||||||
Number | Amount | 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 |