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Health Insurance: Decide Cashless Request in 1 Hour, Provide Final Authorisation for Discharge within 3 Hours, Says IRDAI

To help ease the pains of running from pillar to post for health insurance policyholders, the insurance regulatory and development authority of India (IRDAI) has asked insurance companies to strive to achieve 100% cashless claim settlement in a time-bound manner.

Health insurance claim new rules: Irdai issues circular for insurers to decide on cashless authorisation in 1 hour

IRDAI issued a new master circular on health insurance, aiming for 100% cashless claim settlement within a specific timeframe

Hospitals and health insurers cannot take you for a ride over claims Here s what is new

Insurance ombudsmen settle 40,527 complaints in FY22

As many as 3,830 cases were settled by the Bima Lokpal’s (ombudsman’s) Delhi office alone in the last fiscal.

Insurance Ombudsman gets wider powers under amended rules

Finance > Insurance > Insurance - general Insurance Ombudsman gets wider powers under amended rules 04 March 2021 Government on Tuesday notified comprehensive amendments to the Insurance Ombudsman Rules, 2017, with a view to improve the working of the Insurance Ombudsman mechanism and facilitate resolution of complaints regarding deficiencies in insurance services in a timely, cost-effective and impartial manner. The amended rules have enlarged the scope of complaints to Ombudsmen from only disputes earlier to deficiencies in service on the part of insurers, agents, brokers and other intermediaries. Further, insurance brokers have been brought within the ambit of the Ombudsman mechanism, by empowering the Ombudsmen to pass awards against insurance brokers as well.

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