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Want to File a Health Insurance Claim?

99% Claim Settlement Ratio For Digit’s Health Insurance - FY 2024-25

Health Claim Settlement Ratio

99% Claim Settlement Ratio For Digit’s Health Insurance - FY 2024-25

When it comes to health insurance, Digit stands out with a remarkable 99% Claims Settlement Ratio (CSR). But this isn’t just a number, it’s a reflection of our core promise: to be there when it truly matters.

Every claim represents a moment of vulnerability for someone. A sudden illness. A hospital emergency. A family under pressure. At Digit, we understand that, and that’s why we work relentlessly to ensure that genuine claims are processed quickly, transparently, and with empathy.

Digit’s Health Insurance Claim Numbers for FY 2024-25

75% of Cashless Health Claims Approved in Just 30 Minutes at Digit

75% of Cashless Health Claims Approved in Just 30 Minutes at Digit

At Digit, in the second half of FY25, the average turnaround time (TAT) for pre-authorisation of health insurance cashless claims was a speedy 26.93 minutes. Even better? Over 75% of requests were approved within 30 minutes, making the process feel almost instantaneous.

Of course, some requests, around 3.3% took a little longer (over 60 minutes), mainly because they needed extra info or clarification from hospitals or customers.

65% Cashless Discharge Approved in Just 60 Minutes at Digit

65% Cashless Discharge Approved in Just 60 Minutes at Digit

At Digit, in the second half of FY 2024-25, the average turnaround time (TAT) for hospital discharge approval in our health insurance was 58.95 minutes. Notably, 65% of discharge requests were completed within 60 minutes, ensuring patients aren’t left waiting once their treatment is finished.

While only 1.3% of cases extended beyond three hours, typically due to complex queries or pending clarifications.

Almost 70% of Reimbursement Claims Settled in Just 2 Days

Almost 70% of Reimbursement Claims Settled in Just 2 Days

Not every hospital is part of a cashless network, and that’s where reimbursement claims come into play. Once all documents are submitted, the average turnaround time for processing a reimbursement claim at Digit in FY 2024-25 was just 2.43 days.

Nearly 70% of claims were settled within two days, providing quick relief to policyholders who initially had to pay out of pocket. While about 4.5% of claims took over a week to settle, usually due to missing documents or follow-up queries, the process is largely smooth and customer-centric.

1.1 Lakh+ Claims Registered Quickly with Smart Health Claim Bots in FY 2024-25

1.1 Lakh+ Claims Registered Quickly with Smart Health Claim Bots in FY 2024-25

At the heart of smooth insurance experiences lies something you never see!! 😁

At Digit, our Health Claims Bots and Bulk Policy Issuance are quietly reshaping the way claims get processed. These smart systems fetch real-time data directly from the partner, eliminating manual uploads, reducing errors, and speeding up approvals for claims. In FY 2025 alone, they registered over 1.1 lakh claims, cutting down processing time.

No breaks and no delays. Fewer forms and faster care! ☺️

Health Insurance Claims Made Simple with Digit

Types of Health Insurance Claims

  • Cashless Claim - As the name suggests, a cashless claim means you don’t pay anything from your pocket if you choose to get treated at any of our network hospitals. As per your health insurance plan, your insurance provider a.k.a we will cover for your treatments. However, do keep in mind that the extent of this will depend on your plan and coverage benefits. 
  • Reimbursement Claim - A Reimbursement claim is one of most common types of health insurance claims. In this case, you can get treated at any hospital, whether it is a network hospital or not doesn’t matter. As per your health insurance plan and coverage benefits, you can apply for a reimbursement within 15 days of discharge.

How to make a Cashless Claim?

How to make a Reimbursement Claim?

Documents Required for a Health Insurance Claim

Whether you go for a cashless claim or reimbursement, here’s an exhaustive list of documents you may need to upload or submit while making a health insurance claim. Don’t worry, the documents differ from claim to claim but this list has everything possible. You may need only a few or all of them based on your situation.

List of Documents Hospital-ization Claim Critical Illness Claim Daily Hospital Cash Claim
Duly Filled and Signed Claim form
Discharge Summary ×
Medical Records (Optional Documents may be asked on need basis: Indoor case papers, OT notes, PAC notes etc.) ×
Original Hospital Main Bill × ×
Original Hospital Main Bill with breakup × ×
Original Pharmacy Bills with Prescriptions (except hospital supply) and investigations done outside the Hospital) × ×
Consultation & Investigation Papers ×
Digital Images/CDs of the Investigation Procedures (if required) × ×
KYC (Photo ID Card) Bank Details with Cancelled Cheque
There are some more documents that will be needed only in specific cases, such as:
In case of pregnancy related claims- Ante-natal Record, Birth discharge Summary × ×
In case of an accident or involvement of police- MLC/FIR Report ×
In case of death or disability- Post Mortem Report, Death Certificate or Disability Certificate Original Invoice/Sticker (If applicable) × ×
Attending Physician Certificate (If applicable) ×

Network Hospitals for Cashless Facility

The empanelled hospitals shown on Digit website are not updated in real time, for updated information please check the below TPA lists and the respective TPAs.

Name of TPA Type of Policy Website Link
Medi Assist Insurance TPA Private Ltd. Group Website
Paramount Health Services & Insurance TPA Private Ltd. Group Website
Family Health Plan Insurance TPD Ltd (FHPL) Group Website
Vidal TPA Group Website
MD India Group Website

We also have arranged a direct tie-up with some hospitals. These are in addition to the hospital network we maintain with our TPAs.

FAQs about Digit Health Insurance Claims