Page 553 - Insurance Statistics 2021

HANDBOOK ON INDIAN INSURANCE STATISTICS 2019-20

(Amount in r Lakh) Benefit Based Amount Number Amount 6080 2283 262 16501 10324 7207 6447 6459 3800 7952 2977 3321 8204 3171 348 0 0 0 Benefit Based Amount Number Amount 2309 561 268 1755 430 63 804 322 11 980 603 1 1530 747 4 825 508 1 8204 3171 348

TABLE 83: DETAILS OF CLAIMS DEVELOPMENT & AGING - HEALTH INSURANCE BUSINESS EXCLUDING TRAVEL

(DOMESTIC/OVERSEAS) AND PERSONAL ACCIDENT INSURANCE BUSINESS (2016-17)
For Claims handled directly Both Cashless Only & Reimbursement Reimbursement Number Amount 0 29595 53 428937 52 368065 1 58303 0 35719 0 0 197 For Claims handled directly Both Cashless Only & Reimbursement Reimbursement Number Amount 0 26648 0 4684 9507 0 2349 4203 0 1062 1622 0 427 385 0 549 703 0 35719

Amount Number 42372 27272 1783448 398523 1626326 296433 143141 63558 56453 31193 0 Number Amount 40033 27580 1591 371 214 926 511 56453 31193

Only Cashless Number 194917 1093030 998098 129643 160625 0 Only Cashless Number 141512 3139 654 409 8782 6129 160625

Amount 111 986 588 414 88 0 Amount 30 25 24 3 6 0 88
Benefit Based 1 Benefit Based 25 24 1 9 1
Number Amount 314 37672 3585 402868 2456 351650 1259 46694 184 40916 0 Number Amount 124 26121 8701 3392 1634 1068 0 184 40916

For Claims Handled through TPAs Both Cashless Only & Reimbursement Reimbursement Number Amount 24869 63338 1373618 1120972 1183828 919857 75938 127800 138721 82670 0 0 For Claims Handled through TPAs Both Cashless Only & Reimbursement Reimbursement Number Amount 105792 64773 16334 9795 7601 5233 6669 1886 2325 367 0 617 854 138721 82670

Amount Number 160073 85195 4757612 1012830 4047549 805531 584104 110870 286032 111767 167 0 Number Amount 202140 90761 38275 11125 26971 5784 16769 2983 1023 801 312 286032 111767
Cashless 0 Cashless
Only Only
Number 279721 3713152 3174302 429919 388652 Number 284435 62495 25774 11885 3537 526 388652

Details of Claims Development Claims outstanding at the beginning of the FY New claims registered during the FY Claims settled during the FY Claims repudiated during the FY Claims outstanding at the end of the FY Penal Interest Paid Ageing of outstanding Claims* For less than 1 month For more than 1 month and less than 3 months For more than 3 months and less than 6 months For more than 6 months and less than 12 months For more than 1

551 Total