{"id":248120,"date":"2021-05-12T18:03:45","date_gmt":"2021-05-12T12:33:45","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=248120"},"modified":"2021-05-12T18:03:45","modified_gmt":"2021-05-12T12:33:45","slug":"irdai-issues-norms-on-settlement-of-covid-19-health-insurance-claims","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2021\/05\/12\/irdai-issues-norms-on-settlement-of-covid-19-health-insurance-claims\/","title":{"rendered":"IRDAI issues norms on settlement of COVID-19 health insurance claims"},"content":{"rendered":"

The IRDAI has issued norms for settling COVID-19 health insurance claims vide Circular<\/a> dated April 29, 2021. The norms have been issued in the wake of order dated 28.4.2021 passed by Delhi High Court in W.P. No. 5026\/2021 wherein IRDAI was directed to advise Insurers to communicate their cashless approvals to the concerned hospitals\/establishments within a maximum duration of 30 to 60 minutes so that there shall not be any delay in discharge of patients and hospital beds do not remain unoccupied. Following directions are issued to all the insurers:<\/p>\n

    \n
  1. \u201cDecision on authorization for cashless treatment for COVID-19 claims shall be communicated to the network provider (hospital) within a period of 60 minutes from the time of receipt of authorization request along with all necessary requirements from the hospital.<\/em><\/li>\n
  2. Decision on final discharge of patients covered in COVID-19 claims shall be communicated to the network provider within a period of ONE hour from the time of receipt of final bill along with all necessary requirements from the hospital.\u201d<\/em><\/li>\n<\/ol>\n

    The IRDAI has also asked the insurers to process such requests on time so that both authorizations for cashless treatment and discharge of patients could be done swiftly. The above instructions shall be in force with immediate effect.<\/p>\n

     <\/p>\n

    *Tanvi Singh, Editorial Assistant has put this story together.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    The IRDAI has issued norms for settling COVID-19 health insurance claims vide Circular dated April 29, 2021. The norms have been issued <\/p>\n","protected":false},"author":121,"featured_media":213447,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,1193],"tags":[],"class_list":["post-248120","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-legislationupdates","category-notifications"],"yoast_head":"\nIRDAI issues norms on settlement of COVID-19 health insurance claims | SCC Times<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.scconline.com\/blog\/post\/2021\/05\/12\/irdai-issues-norms-on-settlement-of-covid-19-health-insurance-claims\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IRDAI issues norms on settlement of COVID-19 health insurance claims\" \/>\n<meta property=\"og:description\" content=\"The IRDAI has issued norms for settling COVID-19 health insurance claims vide Circular dated April 29, 2021. 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Insurers advised to design products covering costs of treatment for COVID-19","author":"Bhumika Indulia","date":"March 11, 2020","format":false,"excerpt":"1. \u00a0 In respect of the products filed and cleared as per the provisions of Guidelines on product filing in Health Insurance Business (Ref: IRDA\/HLT\/REG\/CIR\/150\/07\/2016) dated 29th July 2016, where coverage is granted for treatment of hospitalization expenses, in order to alleviate the hardships that may be caused to the\u2026","rel":"","context":"In "Hot Off The Press"","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":223814,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/01\/04\/guidelines-on-migration-and-portability-of-health-insurance-policies-irdai\/","url_meta":{"origin":248120,"position":1},"title":"Guidelines on Migration and Portability of health insurance policies — IRDAI","author":"Bhumika Indulia","date":"January 4, 2020","format":false,"excerpt":"Reference is invited to Regulation 17(iv) and clause 16 of Schedule I of IRDAI (Health Insurance) Regulations 2016. In terms thereof, the following guidelines are issued: A: NORMS ON PORTABILITY: Portability shall be allowed under all individual indemnity health insurance policies issued by General Insurers and Health Insurers including family\u2026","rel":"","context":"In "Legislation Updates"","block_context":{"text":"Legislation Updates","link":"https:\/\/www.scconline.com\/blog\/post\/category\/legislationupdates\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":275978,"url":"https:\/\/www.scconline.com\/blog\/post\/2022\/10\/20\/irdai-issues-circular-on-providing-cover-for-mental-illness-under-health-insurance-policies\/","url_meta":{"origin":248120,"position":2},"title":"IRDAI issues circular on providing cover for mental illness under Health Insurance policies","author":"Bhumika Indulia","date":"October 20, 2022","format":false,"excerpt":"\u00a0 \u00a0 On 18-10-2022, the Insurance Regulatory and Development Authority of India has issued a circular directing all the insurance companies to comply with their circular dated circular 16-07-2018 and\u00a0 cover mental illness all insurance products shall cover mental illness and comply with the provisions of the MHC Act, 2017\u2026","rel":"","context":"In "Hot Off The Press"","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"IRDAI","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/10\/MicrosoftTeams-image-154-1.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/10\/MicrosoftTeams-image-154-1.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/10\/MicrosoftTeams-image-154-1.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/10\/MicrosoftTeams-image-154-1.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/10\/MicrosoftTeams-image-154-1.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":248497,"url":"https:\/\/www.scconline.com\/blog\/post\/2021\/05\/21\/scc-online-weekly-rewind-vol-1-episode-10\/","url_meta":{"origin":248120,"position":3},"title":"SCC Online Weekly Rewind Vol. 1 Episode 10","author":"Bhumika Indulia","date":"May 21, 2021","format":false,"excerpt":"10th Episode of SCC Online Weekly Rewind featuring Bhumika Indulia, Associate Editor\u00a0bringing you the most important and interesting stories from the field of law is out now! Check out the link below. \u00a0 https:\/\/www.youtube.com\/watch?v=kBK0QUYNg \u00a0 \u00a0 SUPREME COURT Open for Courts to order house arrest under Section 167\u00a0CrPC\u00a0 In a\u2026","rel":"","context":"In "SCC Times Newsflash"","block_context":{"text":"SCC Times Newsflash","link":"https:\/\/www.scconline.com\/blog\/post\/category\/watch-now-2\/scc-times-newsflash\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/05\/MicrosoftTeams-image-76.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/05\/MicrosoftTeams-image-76.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/05\/MicrosoftTeams-image-76.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/05\/MicrosoftTeams-image-76.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/05\/MicrosoftTeams-image-76.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":254068,"url":"https:\/\/www.scconline.com\/blog\/post\/2021\/09\/11\/irdai-issues-irdai-trade-credit-insurance-guidelines-2021\/","url_meta":{"origin":248120,"position":4},"title":"IRDAI issues IRDAI (Trade Credit Insurance) Guidelines, 2021","author":"Prachi Bhardwaj","date":"September 11, 2021","format":false,"excerpt":"The Insurance Regulatory and Development Authority of India has published revised guidelines on Trade Credit insurance on 8th\u00a0September 2021. The guidelines shall come into force from November 1, 2021. \u00a0 Key highlights of the revised guidelines are: The guidelines set out the regulatory framework to: promote sustainable and healthy development\u2026","rel":"","context":"In "Legislation Updates"","block_context":{"text":"Legislation Updates","link":"https:\/\/www.scconline.com\/blog\/post\/category\/legislationupdates\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":121911,"url":"https:\/\/www.scconline.com\/blog\/post\/2017\/04\/09\/irdai-issues-guidelines-on-insurance-e-commerce\/","url_meta":{"origin":248120,"position":5},"title":"IRDAI issues Guidelines on Insurance e-commerce","author":"Saba","date":"April 9, 2017","format":false,"excerpt":"Insurance Regulatory and Development Authority of India (IRDAI) has issued guidelines on insurance e-commerce dated 9th March, 2017. 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