How long does claim processing typically take?

Claim processing time varies by insurance company and claim complexity. We ensure fastest possible processing with expert documentation support.

Is claim approval guaranteed?

Final approval rests with the insurance company based on policy terms and claim validity. We maximize approval chances with expert documentation and advocacy.

Do you handle all types of health insurance claims?

Yes, we handle cashless claims, reimbursements, pre-authorization, rejected claims, and delay resolution for all major Indian health insurance companies.

What is your service fee?

Our pricing is transparent and varies by service type. Personal Protection is ₹599/year, while hospital plans are customized based on volume and requirements.

How does the claim processing charge work?

Members of the Personal Protection Plan enjoy a significant discount on claim processing, paying upto 30% less than standard rates. Our transparent pricing ensures you get the maximum value from your insurance policy while we handle the complex documentation and TPA liaison.

Can I use the plan for multiple claims in one year?

Yes, your annual membership covers unlimited claim assistance throughout the year. You can file and receive support for multiple claims during your membership period.

What happens if my claim is rejected?

Our team provides full rejection analysis, documentation rectification, and resubmission support. This service is charged at 20% of the claim amount + GST, applicable for both subscribed and non-subscribed individuals, as well as hospitals. The fee is charged only upon resubmission, not on the initial rejection.

Is this plan suitable for cashless claims or only reimbursement?

The Personal Protection Plan is primarily designed for reimbursement claims where documentation review and submission guidance are critical. For cashless claims at network hospitals, hospital-level infrastructure is required.

What happens if we exceed our monthly patient limit?

You will be charged Rs 169 per additional patient beyond your base limit. There is no need to upgrade your plan immediately — the overage charges provide flexibility for temporary volume increases.

Can we upgrade from Starter to Enterprise mid-month?

Yes, upgrades can be processed at any time. The pricing adjustment will be prorated for the remainder of the current billing cycle, and the full Enterprise plan rate will apply from the next cycle.

How long does empanelment typically take?

Empanelment timelines vary by insurance company, typically ranging from 6–16 weeks from application submission to approval. Our liaison support helps expedite the process where possible.

Do you support integration with our existing HMS?

Yes, the Enterprise Plan includes integration support for most common HMS platforms. Our technical team will work with your IT department to establish seamless data flow where applicable.

What types of insurance claims does the platform support?

The platform supports all major health insurance claim types including hospitalisation, day-care procedures, pre and post-hospitalisation expenses, and various reimbursement categories across TPA and non-TPA insurers.

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Personal Protection Plan

Comprehensive coverage for individuals and families protecting their health claims.

Pre-Submission Claim Audit

Medical Bill Verification

Policy Coverage Validation

Documentation Completeness Check

Policy Purchase Assistance

Free Claim Submission Guidance

Special Assistance for Senior Citizens

Discounted Claim Processing (upto 30%)

₹599/year

all taxes inclusive

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How ClaimTrue Works

Our streamlined process ensures your claims are handled with precision, speed, and absolute transparency.

Secure Upload

Easily upload your medical documents and bills. Our system performs an immediate proactive validation check.

Expert Verification

Our team of healthcare experts reviews your claim for accuracy, ensuring it meets all policy requirements.

Proactive Filing

We file your fully validated claim with the insurance provider using optimized methods for the fastest processing.

Payout/Settlement

Receive your reimbursement quickly and directly. We track the process until settlement is complete.

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Do Not Wait For a Medical Crisis to Discover YourPolicy Is Useless

Built on Industry Excellence

ISO 9001

ISO 27001

ISO 20000

Flexible Solutions for Every Need

Personal Protection Plan

How ClaimTrue Works

Secure Upload

Expert Verification

Proactive Filing

Payout/Settlement

60%

Fewer Rejections

40%

Faster Payouts

Priority

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