Page 564 - Insurance Statistics 2021

HANDBOOK ON INDIAN INSURANCE STATISTICS 2019-20 9384 5289 4399 263848

(Number in Actuals)(Amount in ? Lakh) Total Benefit Based Number Amount Number 430212 209 567 251166 25 65 163535 1 2 111186 0 0 15572 0 0 4949 0 0 976620 235 634 Total Benefit Based Number Amount Number 749580 3 20 190395 3 6 58970 0 0 31876 0 0 15620 0 0 10031 0 0 1056472 6 26
5989
68430
46509
14934
1281
58838
22215
163724
299968
Amount
162826
Amount
TABLE 83: DETAILS OF CLAIMS DEVELOPMENT & AGING - DURING 2019-20 (HEALTH INSURANCE BUSINESS
EXCLUDING TRAVEL (DOMESTIC/OVERSEAS) AND PERSONAL ACCIDENT INSURANCE BUSINESS

For Claims Handled through TPAs Both Cashless and Reimbursement(3) Amount Number 4123 12398 4039 10791 2967 5122 1030 1532 402 220 1 3 12562 30066 For Claims Handled through TPAs Both Cashless and Reimbursement(3) Amount Number 15402 31025 7596 12460 5325 10425 526 1640 149 526 284 583 29281 56659

Reimbursement(2) Number 185821 162372 119911 87177 6084 4071 565436 Reimbursement(2) Number 124612 62170 27967 16669 7331 6937 245686

Only Amount 63050 35128 22705 6579 1858 827 130147 Only Amount 50335 22397 8892 4000 2629 2464 90718

Amount 95444 29239 20836 7325 3728 452 157025 Amount 97985 28841 7998 4858 2511 1650 143843

Only Cashless(1) Only Cashless(1)
Number 231426 77938 38500 22477 9268 875 380484 Number 593923 115759 20578 13567 7763 2511 754101

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 Claims repudiated between 1-2 years claims repudiated beyond 2 years ** Reckoned from date of receipt of last requirement Ageing of outstanding claims*** Claims outstanding within 1 month Claims outstanding between 1-3 months Claims outstanding between 3-6 months Cl

Total

562 Total