Page 558 - Insurance Statistics 2021
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HANDBOOK ON INDIAN INSURANCE STATISTICS 2019-20                 12202  5363  536694

                 (Number in Actuals)(Amount in ? Lakh)  Grand Total  (Direct+TPA)  Total  Number  Amount  10072985  702551  3763491  147701  539755  40509  128370  27297  34342  9772  5793  562  14544736  928393  Grand Total  (Direct+TPA)  Total  Number  Amount  618698  116662  312747  63051  131951  46015  118323  69505  28401  2054  4496  3167  1214616  300455
                                      895029
                                          176906
                                                                              228979
                                   1861552
                                             68554
                                                        3024404
                                                                          Amount
                                                 18586
                                                    3777
                               Amount
                                                                                      81308
                                                                                          94796
                                                                                  114047
           DETAILS OF CLAIMS DEVELOPMENT & AGING - DURING 2017-18 (HEALTH INSURANCE BUSINESS
              EXCLUDING TRAVEL (DOMESTIC/OVERSEAS) AND PERSONAL ACCIDENT INSURANCE BUSINESS





                               Amount  Number  3693463  7212  420924  607  71815  247  17028  86  8033  2  890  2  4212153  8156  Number  Amount  252339  9292  64956  766  11792  262  5956  177  3404  113  1020  66  339467  10677

                         Benefit  Based  Number  9931  680  155  40  2  4  10812  Benefit  Based  Number  4305  438  398  80  45  90  5356


                      For Claims handled directly  Both Cashless and  Reimbursement(3)  Amount  Number  4919  5289  326  1153  21  86  3  9  0  0  0  0  5268  6537  For Claims handled directly  Both Cashless and  Reimbursement(3)  Amount  Number  1657  230  30  67  20  215  1  10  0  0  0  0  1707  522 Note: 1. Claims are settled only through Cashless Mode. No part of the claim is settled through reimbursement. 2. Claims are settled only through Reimbursement mode. No par












                            Reimbursement(2)  Number  834392  375206  66867  11482  1994  777  1290718  Reimbursement(2)  Number  86919  33862  9220  5626  2451  900  138978

                         Only  Amount  245949  111544  37005  25886  9011  576  429973  Only  Amount  38597  47103  44933  69102  1597  2892  204224





                               Amount  444471  35225  3236  1322  759  (17)  484997  Amount  67116  15153  800  225  345  209  83848
                            Cashless(1)  Number  2843850  43885  4707  5497  6037  109  2904085  Cashless(1)  Number  160885  30589  1959  240  908  30  194611
                         Only                                       Only                                      is settled through Cashless mode. 3. Claims which are paid through both cashless and reimbursement modes.










                      Ageing of paid claims**  Claims paid within  1  month  Claims paid between 1-3 months  Claims paid between 3-6 months  Claims paid between 6-12 months  Claims paid between 1-2 years  claims paid  beyond 2 years  Total ** Reckoned from date of receipt of last requirement  Ageing of Repudiated Claims***  Claims repudiated within  1  month  Claims repudiated between 1-3 months  Claims repudiated between 3-6 months Claims repudiated between 6-12 months













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