Claims-FAQ
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Frequently Asked Questions

1. How do I apply for a cashless claim at a network hospital?

2. How to apply for a cashless claim in case of emergency hospitalization?

3. How to apply for reimbursement of my claim? What documents do I need?

4. How long does it take to get the reimbursement for the claim made?

5. What if there is a delay in claim intimation or claim documentation?

6. What is the timeline for submitting claim documentation?

7. How can I download the claims form?

8. What pages need to filled on claim form?

9. What is the claim intimation procedure for reimbursement in case of a non-network hospital?

10. Can I submit my reimbursement claim online?

11. Is the online claim reimbursement process available for all Max Bupa customers?

12. What are the benefits of an online claim submission?

13. Can I submit copy of duplicate bill?

14. Can Partners & Group customers submit online claim?

15. Can I submit missing info / additional documents asked by MBHI claims department?

16. Can I change my mobile number while submitting the online claim?

17. Can I delete & reupload the document in case wrong document uploaded by me before final submission

18. Can modified contact details be endorsed in system?

19. Can I submit multiple claims type in one go?

20. Can I raise a claim for other members covered in my policy?

21. Do I need to login in my account to raise a claim?

22. Can I raise a claim if hospital in not on our network?

23. Is there any size limit to upload documents?

24. Is there any specific format to upload claims documents?

25. Do I need to submit KYC documents?

26. Should I need to keep original documents safe?

27. In case of pre-post claim, do I need main claim number?

28. What are the mandatory documents to be uploaded while submitting the online claim?

1. How do I apply for a cashless claim at a network hospital? - +

Step 1: Select and approach service desk of our Network Hospital (recommended at least 72 hours before the treatment in case of planned hospitalisation

Step 2: Use Max Bupa Health Card or share your policy number and Passport photo, PAN card or Voter’s card along with your medical records if any for identification purposes

Step 3: Network Hospital would check your identity for validation and submit preauthorization form to us

Step 4: We review and provide our confirmation to the network Hospital by fax/e-mail and send a text message or an e-mail to you

Step 5: Get admitted for treatment and sign all documents, form and invoices on discharge

Step 6: We make payments to the Hospital for preapproved treatment and as per Policy terms and conditions

 [v1]In plan hospitalization)

 [v2] and recent passport  photo along with medical record if any.