Status of Claims Development and Ageing under Health Insurance Business (Excluding Travel-Domestic/Overseas and Personal Accident Insurance) in India - Part II (2019-2020) | ||||||||||||
(Number in Actuals; Amount : Rs. in Lakh) | ||||||||||||
Details of Claims Development | For Claims Handled Directly | |||||||||||
Only Cashless | Only Reimbursement | Both Cashless and Reimbursement | Benefit Based | Total | Grand Total | |||||||
Number | Amount | 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 |