letter to the health insurance company for claim approval sample letter for health insurance claim approval
When writing an application letter for a health insurance claim, clarity and politeness are essential. Clearly state your name, policy number, and residential address. Provide details of the patient, including name, gender, and address, along with the reason for hospitalization and the total claim amount. Attach relevant documents, such as bills or ID proofs, for reference.

Table of Contents:

Sample Application Letter for Medical Claim

To,
The ______________ (Concerned Authority),
________________ (Insurance Company Name),
________________ (Address)

Date: __/__/____ (Date)

Subject: Application for claim approval of policy no. __________ (policy number)

Respected Sir/Madam,

I am _______________ (Name) a policy holder in your company bearing policy number _______________ (Policy Number). Policy name is ________________ (Policy Name – If applicable) and my permanent residential address is ______________ (Address).

I am writing this letter to request you regarding approval of the claim for a total amount of Rs. __________ (Amount). The patient is hospitalized in ____________ (hospital Name), in ___________ (Room type) due to the reason (Reason Of Hospitalization).

The following are the details of the patient:

Name: _______________
Gender: _______________
Address: _______________

I am hereby attaching ____________ (a copy of bill/ ID Proof/ Address Proof/ Application Form/ Form duely filled attested by hospital/ Any other document Required).

I shall be highly obliged if you take this as genuine and pass the claim as early as possible.

Thanking you,
______________ (Signature)
______________ (Name),
______________ (Contact Number)

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FAQs

  • Q: What documents should I attach with the health insurance claim application letter?
    • A: Attachments may include copies of bills, ID proofs, address proofs, application forms, or any other documents required by the insurance company.
  • Q: How long does it take for a health insurance claim to be processed?
    • A: Processing times vary depending on the insurance company's procedures, but claims are usually processed within a few weeks.
  • Q: Can I submit a handwritten application for a health insurance claim?
    • A: It's preferable to type the application for clarity, but handwritten applications are generally acceptable as long as they are legible.
  • Q: What should I do if my health insurance claim is denied?
    • A: If your claim is denied, you can appeal the decision by providing additional documentation or contacting the insurance company for further clarification.
  • Q: Is there a limit to the number of health insurance claims I can make in a year?
    • A: The number of claims you can make within a year may vary depending on your policy terms and conditions. Check your policy documents or contact your insurance provider for clarification.

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