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-Health Administration Team-
CDC Health : Claim by Direct Click
Current process – Customer get admitted in hospital. Post
discharge, sends across original hard copies of claim
documents for processing to HAT Team
Proposed process : Download Caringly Yours from Play
store, configure Retail Policy &Group Card, Register claim
by entering hospitalization related details and upload
documents.
Claim can be intimated at the time of admission, and
subsequently on discharge, write on documents claimed
with Bajaj Allianz” and take picture of all documents and
upload in insurance wallet.
Admissible claims upto 20000 will be considered to release
payment.
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-Health Administration Team-
Demonstration of Policy configuration in Caringly Yours app
Home page of Caringly Yours for login.
CDC – Health (Claim by Direct Click) is
available in our BAGIC mobile app
“Caringly Yours”. Customer needs to
download this app through Google play
store.
Login:
Customer needs to first logs into Caringly
Yours by using their mobile number
verified by OTP.
Post mobile verification customer needs
to sign up by entering mandatory
information.
For direct accessibility of configured policies, suggest
to use the email id which is been given at the time of
policy issuance
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-Health Administration Team-
Demonstration of Policy configuration inXCaringly Yours app
Configure Member Details:
To use the features of CDC – Health, customer needs to configure policy details under
Manage Policy option
Below are the steps to add policy details:
Manage >>> Add Policy
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-Health Administration Team-
Demonstration of Claim Registration
>>> Group Health
Enter - Employee Code and BAGIC Health ID card Number.
Both options are mandatory to configure correct member details.
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-Health Administration Team-
View and Share E-Cards:
My E-Cards has provision to view and share it further as per customer wishes
through mobile based sharing facilities.
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-Health Administration Team-
Demonstration of claim Registration
On home page all the policies configured by customer will be prompt accordingly and against each
policy REGISTER CLAIM option will be available
On selecting Register Claim option, customer will be redirected on selecting of member name
against whom the claim to be registered
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-Health Administration Team-
Demonstration of Claim Registration
Post selection of patient’s name, client would search and select hospital’s name from the
given list. Insured has to select State, City and hospital’s name accordingly.
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-Health Administration Team-
Demonstration of Claim Registration
Once hospital is selected through given list,
insured would be guided to page wherein
he will have to punch-in additional
information e-mail ID, phone number, date
of admission, date of discharge, diagnosis
and estimation.
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-Health Administration Team-
Demonstration of claim Registration
This would be the confirmatory page, customer will go through the terms and
conditions and agree for the same.
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-Health Administration Team-
Demonstration of Claim Registration
Claim reference number will get
generated.
Before Photographs insured will mention
on documents stating “Claimed with Bajaj
Allianz General Insurance Co Ltd.
As next step, insured would be asked to
take photographs of all claim documents
or upload through Mobile gallery and
submit.
After submission claim will be lined up in
health claim processing module for further
processing.
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-Health Administration Team-
Demonstration of Claim Registration
All the claims registered by customer will
be available under My claims section
On clicking on the particular claim
searched from this option will provide
status of the claim
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-Health Administration Team-
CDC Health : Claim Process Flow
Claim Registration through IW
Uploading of documents by taking picture
On receipt of claim documents call
Claim pushed to HCM will be done to customer and
hospital to check treatment related
details such as date of admission,
diagnosis, length of stay, etc
Technical / Medical Assessment
Additional
Document Upload
Claim Approved Kept Deficient for Claim assigned for
Claim Repudiated investigation
upto 20 K additional documents.
Claim approval DR intimation
Client would be asked Claim is processed as per
Letter to be sent would be given 3
to submit originals merits Approved / Deficient
to customer Reminders
/ Repudiated
Closed Repudiated Closed
-HealthAdministration
-Health Administration Team-
Team-
Important Points to be noted:- Documents Uploding
Use own account of Caringly Yours for Policy Configuration
and Claim Registration for Retail Customer.
Write on all bills “Claimed with Bajaj Allianz General
Insurance Co Ltd.” in bold letters before clicking pictures.
Color photograph of all Original bill needs to be uploaded in
Caringly Yours.
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-Health Administration Team-
How to upload documents in Insurance Wallet
Click on Take Image to take the
photographs.
Once we click on Take Image the App will
go in Camera Mode to take photographs or
Images.
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-Health Administration Team-
How to upload documents in Caringly Yours
Pre-printed cancelled cheque leaf with Insured Name,
Duly filled claim form by insured A/C no, IFSC code, MICR number and signature
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-Health Administration Team-
How to upload documents in Caringly Yours
Discharge Summary Hospital Bill & Receipt
Write on All Documents “ Claimed with Bajaj Allianz”
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-Health Administration Team-
How to upload documents in Caringly Yours
Investigation Report Pharmacy Bills
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-Health Administration Team-
Benefits
Auto Claim Registration
Faster Claim processing
Complete transparent process
Cost Saver in terms of courier charges
Live update of claim status
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-Health Administration Team-
THANK YOU
Thank You
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-Health Administration Team-
