Digit Health Insurance Claim Settlement
Go Digit Health Insurance Claim Settlement Ratio
The Claim Settlement Ratio (CSR) shows how many claims Go Digit has paid compared to the total claims received. It is calculated as:
(Claims Paid ÷ Total Claims Received) × 100
For the year 2022-23, Go Digit’s claim settlement ratio was 96.83%, meaning most claims were successfully paid. Go Digit has a CSR above 80%, which is considered good. This means the company settles most claim requests. Plus, they have a dedicated team to handle claims quickly and smoothly.
Documents Needed for Digit Health Insurance Claim
To make a claim under Digit Health Insurance, you need the following documents:
- Filled and signed claim form
- Hospital discharge summary
- Original hospital bills with break-up
- Original pharmacy bills with prescriptions and investigation reports
- Doctor’s certificate from the attending physician
- Investigation papers, consultations, and digital images/CDs of procedures
- Cancelled cheque, KYC (Photo ID), and bank details
- Medical records (OT notes, case papers, PAC notes, if needed)
- For maternity claims – Birth discharge summary & ante-natal record
- For accident cases – MLC/FIR report
- For death/disability claims – Post-mortem report, disability/death certificate, and original invoice/sticker (if applicable)**
Additional documents may be required based on the nature of the claim.
Claim Process of Digit Health Insurance
1Follow these simple steps to make a cashless claim
- Inform Go Digit: If your hospital stay is planned, inform Go Digit at least 48 hours before admission. For emergencies, notify them within 24 hours of hospitalization.
- Show Your E-Health Card: Go to the insurance helpdesk at the hospital and get the pre-approval form.
- Fill & Submit the Form: Complete and sign the form, then submit it at the helpdesk.
- Approval Process: If everything is correct, Go Digit will approve your cashless treatment. You must start treatment within 15 days of approval.
- Bill Settlement: After your discharge, the hospital will send the bill to Go Digit, and they will pay directly to the hospital.
2Follow these simple steps to get a Reimbursement claim
- Inform Go Digit: Tell the insurer about your hospital stay. For emergencies, inform them within 24 hours. For planned treatments, inform them at least 2 days before admission. They will send you a link to upload your documents and bank details.
- Pay the Bills & Collect Documents: You must pay all bills when leaving the hospital and collect all medical reports and receipts.
- Sign & Label Documents: Sign all documents and write "For Digit Insurance" on them before uploading. Keep the original copies for reference.
- Upload Documents on Time: Submit scanned copies of all documents within 30 days of hospital discharge.
- Get Reimbursement: Go Digit will process your claim and send the payment within 30 days after receiving all documents.
FAQs
You can make as many claims as needed in a year, but the total amount cannot be more than your sum insured.
You can call 1800-103-4448 or 1800-258-5956 anytime or email hello@godigit.com. You can also call InsuranceDekho at 7551-196-989 for assistance.
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