Claims
\n![\"\"](\"../assets/menu.svg\")
\n Warning
\n{{data.Warnings}}
\nError
\n{{data.error}}
\nError
\n{{data.error}}
\n\n Document Type*\n
\n\n Validity From*\n
\n\n\n Validity Upto*\n
\n\n\n Upload Documents*\n
\n\n Max Size: 5MB | Type: PDF, JPG, JPEG & PNG\n
\n![](\"../../assets/GroupUpload.png\")
\n \n \n Your Uploaded Documents\n
\n\n| \n \n {{ index + 1 +'.'}}\n \n \n \n \n | \n\n\n \n \n \n {{ doc.fileName | truncate(24, \"...\") }}\n {{doc.fileName }}\n | \n \n\n {{ doc.hasOwnProperty(\"docType\") ? doc.docType : \"-\" }}\n | \n\n \n | \n\n \n\n
\n Document Type*\n
\n\n Validity From*\n
\n\n\n Validity To*\n
\n\n\n Upload Documents*\n
\n\n Max Size: 5MB | Type: PDF, JPG, JPEG & PNG\n
\n\n \n | \n \n {{ index + 1 }}\n \n \n \n \n | \n \n {{ doc.fileName | truncate(24, \"...\") }}\n {{doc.fileName }}\n | \n \n\n {{ doc.hasOwnProperty(\"docType\") ? doc.docType : \"-\" }}\n | \n\n | \n
\n Entity Name *\n
\n\n Alias Name\n
\n\n Provider Type *\n
\n\n Other *\n
\n\n Rohini Number *\n
\n\n Rohini Number \n
\n\n Pan No *\n
\n\n Registration Number\n
\n\n Registered Body\n
\n\n Registrations valid upto\n
\n\n Services Provided\n
\n\n Services Provided Other *\n
\n\n No. of Beds\n
\n\n Medical Practitioner round the clock\n
\n\n Daily Medical Records\n
\n\n Nursing round the clock\n
\n\n Has Operation Theatre\n
\n\n Provider Email Id *\n
\n\n Telephone Number *\n
\n\n Alternate Number\n
\n\n Fax Number\n
\n\n Health Faculty Registration ID *\n
\n\n Address Line 1 *\n
\n\n Address Line 2\n
\n\n Address Line 2 *\n
\n\n Address Line 3\n
\n\n Pin code *\n
\n\n\n City/Town/village *\n
\n \n\n City/Town/village Other *\n
\n\n District *\n
\n\n State *\n
\n\n Country *\n
\n\n Requester First Name *\n
\n\n Requester Last Name *\n
\n\n Requester Employee ID *\n
\n\n Requester Email ID *\n
\n\n Requester Mobile No *\n
\n\n Salutation *\n
\n\n First Name *\n
\n\n Middle Name\n
\n\n Last Name *\n
\n\n Gender\n
\n\n Mobile Number *\n
\n\n Email Id *\n
\n\n External Reference Number\n
\n\n Qualification\n
\n\n Qualification Other *\n
\n\n Provider Type \n
\n\n Provider Type Other *\n
\n\n Registered Council\n
\n\n Registered Council Other *\n
\n\n Registration Number\n
\n\n Registration Valid Upto\n
\n\n\n\n\n Healthcare Professional ID *\n
\n\n Search By\n
\n\n Registered Entity *\n
\n\n Provider Name\n
\n \n\n PRN\n
\n\n Rohini ID\n
\n\n PAN\n
\n\n Providers Details\n
\n\n Provider Name\n
\n\n PRN\n
\n\n Registration Number\n
\n\n Rohini ID\n
\n\n Address\n
\n\n City/Town/Village\n
\n\n Pincode\n
\n\n District\n
\n\n State\n
\n\n Fill the below user details\n * MANDATORY FIELDS\n
\n \n \n\n User First Name *\n
\n\n User Last Name *\n
\n\n User Employee ID\n
\n\n User Mobile No. *\n
\n\n User Email ID *\n
\n\n Alternate login credentials\n
\n\n Alternate User Email ID 1\n
\n\n Alternate User Email ID 2\n
\n\n Alternate User Mobile No 1\n
\n\n Alternate User Mobile No 2\n
\n![](\"../../assets/soya-family.png\")
\n \n ![](\"../../assets/TATA-AIG-Logo.png\"){kind=logo}
\n ![](\"../../assets/success.png\")
\n \n For enhanced security of your account we have sent a 6 digit\n One-Time PIN to your registered email ID\n Amol****@iorta.in.\n
\nDidn’t received the OTP? Resend in 0:56 Sec
\n{{userDetails.first}} {{userDetails.last}}
\n\n {{ tit1 }}\n
\n{{ subtit1 }}
\n![\"\"](\"../../assets/arrow-right-icon.svg\"){kind=icon}
\n \n \n {{ tit2 }}\n
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\n\n \n \n {{ tit3 }}\n \n
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\n\n \n \n {{ tit4 }}\n \n
\n{{ subtit4 }}
\n\n \n \n Select Provider\n
\n\n Name*\n
\n\n Alias Name\n
\n\n Status\n
\n\n Provider Type\n
\n\n Provider Type Other*\n
\n\n PRN\n
\n\n Registration Valid Upto*\n
\n\n Registered Entity*\n
\n\n Upload\n
\n\n Address Line1 *\n
\n\n Address Line 2\n
\n\n Pin code *\n
\n\n\n Country*\n
\n\n State *\n
\n\n District *\n
\n\n City/Town/village*\n
\n\n Other\n
\n\n Location Type*\n
\n\n Address Line1 *\n
\n\n Address Line 2\n
\n\n Pin code *\n
\n\n\n Country*\n
\n\n State *\n
\n\n District *\n
\n\n City/Town/village*\n
\n\n Other\n
\n\n Location Type*\n
\n\n Latitude Details\n
\n\n Degrees\n
\n \n\n Direction\n
\n \n\n Minutes\n
\n \n\n Seconds\n
\n \n\n Longitude Details\n
\n\n Degrees\n
\n \n\n Direction\n
\n \n\n Minutes\n
\n \n\n Seconds\n
\n \n\n Other Details\n
\n\n Remarks\n
\n \n\n Document Type*\n
\n\n Upload Documents*\n
\n\n Max Size: 5MB | Type: PDF, JPG, JPEG & PNG\n
\n\n Validity From*\n
\n\n\n Validity To*\n
\n\n\n Your Uploaded Documents\n
\n| \n \n {{ index + 1 }}\n \n \n \n \n | \n \n {{ doc.fileName | truncate(24, \"...\") }}\n {{doc.fileName }}\n | \n \n\n {{ doc.hasOwnProperty(\"docType\") ? doc.docType : \"-\" }}\n | \n\n | \n
\n Facilities Details\n
\n\n Type of Clinical Services *\n
\n\n Number of Beds *\n
\n\n Single Room - Beds *\n
\n\n Shared Room - Beds *\n
\n\n Ward Beds *\n
\n\n Intensive Care Unit - Beds *\n
\n\n Total Operation Theaters *\n
\n\n Major OT *\n
\n\n Minor OT *\n
\n\n Cath Lab *\n
\n\n Ambulances - BLS *\n
\n\n Ambulances - ACLS *\n
\n\n Inhouse Pharmacy *\n
\n\n Blood Bank *\n
\n\n Inhouse Laboratory * \n
\n\n Facilities Details\n
\n\n Payee Name *\n
\n\n MICR Code \n
\n\n Account Number *\n
\n\n PAN *\n
\n\n Proprietorship Name\n
\n\n GSTIN\n
\n\n If yes,amount*\n
\n\n Validity From*\n
\n \n\n Validity To*\n
\n \n\n If yes,amount*\n
\n\n Validity From*\n
\n \n\n Validity To*\n
\n \n\n\n Document Type*\n
\nUpload Documents*
\n \nYour Uploaded Documents
\n \n\n No documents found\n
\n \n\n Provider Name\n
\n\n Address\n
\n\n Office at\n
\n\n Agreement effective date *\n
\n \n\n Discount *\n
\n\n Insurer Attn: Mr.*\n
\n\n PAN\n
\n\n Hospital Attn. *\n
\n\n Additional Clauses *\n
\n{{ document1 === ''? 'Document 1' : document1 | truncate(10, '...') }}
\n \n{{ document2 === ''? 'Document 2' : document2 | truncate(10, '...') }}
\n{{ document3 === ''? 'Document 3' : document3 | truncate(10, '...') }}
\n{{ document4 === ''? 'Document 4' : document4 | truncate(10, '...') }}
\n\n Agreement Start*\n
\n \n\n Agreement End*\n
\n \n\n Agreement signed Date*\n
\n \n\n Amount\n
\n\n Banker Name\n
\n\n Expiry Date\n
\n \n\n Extension Date\n
\n \n{{ renDocument1 === ''? 'Document 1' : renDocument1 | truncate(10, '...') }}
\n \n\n New MoU Expiry Date\n
\n \n\n Agreement Start*\n
\n \n\n Agreement End*\n
\n \n\n Agreement signed Date*\n
\n \n\n Amount\n
\n\n Banker Name\n
\n\n Expiry Date\n
\n \n\n Remarks\n
\n\n Provider Name\n
\n\n Address\n
\n\n Office at\n
\n\n Agreement effective date *\n
\n \n\n Discount *\n
\n\n Insurer Attn: Mr. *\n
\n\n PAN\n
\n\n Hospital Attn. *\n
\n\n Additional Clauses *\n
\n \n\n Agreement Start*\n
\n \n\n Agreement End*\n
\n \n\n\n Agreement signed Date*\n
\n \n\n Amount\n
\n\n Expiry Date\n
\n \n{{ document1 === ''? 'Document 1' : document1 | truncate(12, '...') }}
\n \n\n Agreement Start*\n
\n \n \n\n Agreement End*\n
\n \n \n\n Agreement signed Date*\n
\n \n \n\n Amount\n
\n\n Banker Name\n
\n\n Expiry Date\n
\n \n \nClaim Number: {{ actionItemSelected.claimNumber }}
\nYour Uploaded Documents
\n| {{i.text}} | \n||||
|---|---|---|---|---|
| \n {{ indx + 1 +'.'}} \n \n \n | \n\n\n \n \n \n | \n \n | \n {{j.fileName | truncate(30, '...')}} | \n\n | \n
\n Final Request\n
\n \n \n\n Extension Amount *\n
\n\n Extension Reason *\n
\n\n Original Preauth Number *\n
\n\n UHID \n
\n\n Preauth claim id \n
\n\n Remarks * \n
\n\n Preauth claim id \n
\n\n UHID\n
\n\n Preauth claim id\n
\n\n Patient Name\n
\n\n Date of admission\n
\n\n Claim Status\n
\n\n Date of Rejection\n
\n\n Patient still admitted\n
\n\n Probable date of discharge\n
\nOnly Provider Institution Allowed.
\nMember Search
\nPolicy Type
\n\n\t\t\t\t\t\t\t\t\tTime of Admission (24hr format)*\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\tAddress
\nLandmark
\nArea
\nState
\n \n\n City/Town/Village\n
\nDistrict
\nPincode
\n\n\n Mobile Number\n
\n\n Contact Number of Attending Relative\n
\n \n\n\n Is Alternate Address in claim form different? *\n
\n\nAddress
\nLandmark
\nArea
\nState
\n \n\n City/Town/Village\n
\nDistrict
\n\nPincode
\n\n Is contact details in claim form different? *\n
\n\n Alternate E-mail 1\n
\n\n Alternate E-mail 2\n
\n\n Alternate Mobile Number 1\n
\n\n Alternate Mobile Number 2\n
\n\n Inward ID *\n
\n\n Policy Number\n
\n\n Member ID\n
\n\n Member First Name\n
\n\n Member Last Name\n
\n\n Other Remarks\n
\nCops Team Response
\n\n Decision *\n
\n\n Policy Number\n
\n\n Member ID\n
\n\n Comments\n
\n\n Assign To *\n
\n\n Sub-Channel\n
\n\n Details Required *\n
\n\n Additional Remarks\n
\nChannel/UW Team Response
\n\n Decision *\n
\n\n Policy Number\n
\n\n Member ID\n
\n\n Comments\n
\n| {{i.text}} | \n\n \n|||||
|---|---|---|---|---|---|
| \n {{ indx + 1 +'.'}} \n \n \n | \n \n \n \n | \n \n \n | \n \n | \n {{j.fileName | truncate(30, '...')}} | \n\n | \n
\n Member ID*\n
\n\n Claim Number\n
\n\n Feature Number\n
\n\n Product Name\n
\n\n Policy Number\n
\n\n Certificate Number\n
\n\n Date of Admission (DD/MM/YYYY)*\n
\n \n\n\t\t\t\t\t\t\t\t\tTime of Admission (24hr format)*\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\n Coverage*\n
\n\n\n First Name\n
\n\n Middle Name\n
\n\n Last Name\n
\n\n Name of Corporate\n
\n\n Date of Birth\n
\n\n Age\n
\n\n Gender\n
\n\n Employee ID\n
\n\n Relationship to Primary Insured\n
\n \n\n Other\n
\n\n Occupation\n
\n \n\n Other *\n
\nYour Uploaded Documents
\n\n Invoice Number *\n
\n\n Invoice Date *\n
\n\n\n Pincode *\n
\n\n Party Name *\n
\n\n Currency\n
\n \n\n Currency *\n
\n\n Exchange Rate *\n
\nWould you like to continue ?
\n\n Search Item Description\n
\n \n\n CKYC Number *\n
\n\n CKYC Number *\n
\n\n CKYC Number *\n
\n{{item.perUnitPolicyLimit}}
\n \n \n\n \n \n{{item.coPay}}
\n \n \n \n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n\n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n \n{{item.perUnitPolicyLimit}}
\n \n \n\n \n{{item.coPay}}
\n \n \n\n \n{{item.overRideTariffAmount}}
\n{{item.overRideTariffDiscount}}
\n{{item.overRidePerUnitPolicyLimit}}
\n{{item.overRideCoPay}}
\n{{item.overRideDeductible}}
\nHospital Details
\n\n Provider Name\n
\n\n Provider Alias Name\n
\n\n PRN (Hospital)\n
\n\n Provider Address\n
\n\n Provider Type\n
\n\n ROHINI code\n
\n\n Provider Status\n
\n\n Provider Flags\n
\n\n No. Of Beds\n
\n\n Registration valid upto\n
\n\n\n Telephone Number\n
\n\n E-mail\n
\nTreating Doctor
\n\n PRN (Doctor)\n
\n\n First Name\n
\n\n Middle Name\n
\n\n Last Name\n
\n\n Qualification\n
\n\n Other\n
\n\n Registration Number\n
\n\n Registered Council\n
\n\n Other\n
\n\n Phone number\n
\n\n Policy Number\n
\n\n \n \n
\n\n Policy Status\n
\n\n \n \n
\n\n Member ID\n
\n\n \n \n
\n\n Member Status\n
\n\n \n \n
\n\n Policy Inception date\n
\n\n \n \n
\n\n Present Policy Start Date\n
\n\n \n \n
\n\n Present Policy End Date\n
\n\n \n \n
\n\n Product Name\n
\n\n \n \n
\n\n Claim Status\n
\n\n \n
\n\n Claim Sub-Status\n
\n\n \n
\n\n Claim ID\n
\n\n \n
\n\n Claim Type\n
\n\n \n
\n\n Sum Insured\n
\n\n
\n Cumulative Bonus\n
\n\n
\n Total SI\n
\n\n
\n Restore SI\n
\n\n \n
\n\n Reserved Amount\n
\n\n
\n Balance SI\n
\n\n
\n Corporate Buffer\n
\n\n \n
\n\n Claim Number\n
\nClaim Flags
\n\n Notes *\n
\n\n Preauth No. \n
\n\n From Date\n
\n\n To Date\n
\n\n {{ this.selectedComm.msgContentPop }}
\n \n
\n {{ selectedComm.msgContentPop.split(\"|\")[0] }}\n
\n\n {{ selectedComm.msgContentPop.split(\"|\")[1] }}\n
\n\n UHID \n
\n\n Preauth No. \n
\n\n UTR No \n
\n\n From Date\n
\n\n To Date\n
\n\n Document Type*\n
\n\n Document Date*\n
\n\n\n Upload Documents*\n
\n\n Max Size: 5MB | Type: PDF, JPG, JPEG & PNG\n
\n\n \n \n Your Uploaded Documents\n
\n\n| \n \n {{ index + 1 +'.'}}\n \n \n \n \n | \n \n \n\n \n {{ doc.fileName | truncate(24, \"...\") }}\n {{doc.fileName }}\n | \n \n\n \n \n {{ doc.hasOwnProperty(\"documentType\") ? doc.documentType : \"-\" }}\n | \n\n \n | \n
\n Preauth claim id *\n
\n\n UHID\n
\n\n Patient Name\n
\n\n Enhancement No.\n
\n\n Date of admission\n
\n\n Total Claimed amount\n
\n\n Total amount approved\n
\n\n Date of approval\n
\n\n Date of Discharge \n
\n\n Remarks *\n
\nTop Cities
\n\nList ( Showing {{incmData.length}} Branch(es) in {{incmData[0].branchName}} )
\n{{e.branchName}}
\n{{e.address}}
\nPH : {{e.contactNo}}
\nNo data found.
\n \n![](\"../../assets/Group12158.png\")
\n \n WhatsApp\n
\n\n\n +91-9136160375\n \n
\n \n![](\"../../assets/Group12120.png\")
\n \n 24/7 Toll-Free Number\n
\n\n\n 1800-266-7780\n \n
\n \n\n \n Toll-Free No. for Agent & Intermediaries\n
\n\n\n 1800-267-7233\n \n
\n \n![](\"../../assets/Group12121.png\")
\n \n Email\n
\n\n\n customersupport@tataaig.com\n \n
\n \n\n Document Type\n
\n\n Upload Documents*\n
\n\n Max Size: 5MB | Type: PDF, JPG, JPEG & PNG\n
\n\n \n \n Your Uploaded Documents\n
\n\n| \n \n {{ index + 1 }}.\n \n \n \n \n \n \n \n | \n \n {{ doc.fileName | truncate(24, \"...\") }}\n {{doc.fileName }}\n | \n \n \n\n \n | \n
\n Claim id\n
\n\n Query Id\n
\n\n Received date\n
\n\n Hospital Name\n
\n\n TATA AIG Comments\n
\n \n\n Hospital Comments\n
\n \n\n Claim id\n
\n\n Requirement Reference no.\n
\n\n Received date\n
\n\n Requirement Subject\n
\n\n TATA AIG Comments\n
\n\n\n Hospital Comments\n
\n\n Policy Id\n
\n\n Corporate Name\n
\n\n Main Member ID\n
\n\n Main Member Name\n
\n\n Claim Type\n
\n\n Claim Id\n
\n\n Claim Status\n
\n\n Employee ID\n
\n\n external Query ID\n
\n\n Hospital Name\n
\n\n Query Status\n
\n\n Patient Name\n
\n\n Assigned To\n
\n{{ index + 1 +'.'}} \n \n
{{ item.documentType }}
\n{{ item.documentName }}
\n