Disclose health claims settlement data: IRDAI to insurers

In order to increase transparency about servicing health insurance claims, the Indian insurance regulator on Wednesday directed general and standalone health insurers to publish quantitative and qualitative data on their websites.

In a guideline on public disclosures, the Insurance Regulatory and Development Authority of India (IRDAI) has asked general insurers, including health insurers to collate and publish data on processing and settlement of health insurance claims.

As per the guideline, the insurers transacting health insurance business should disclose the turnaround time (TAT) for cashless claims for individual/group policies (pre-authorisation and discharge from hospital) and settlement or repudiation of claims for individual/group/government policies.

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