The dataset contains Year Wise Details of Claims Development and Aging - Health Insurance Business (Excluding Travel and Personal Accident) from Handbook on Indian Insurance Statistics Note: 1. Ageing of Paid claims Reckoned from the date of first intimation 2. Ageing of repudiated claims, Ageing of outstanding claims Reckoned from date of receipt of last requirement.
| fiscal_year | category | category_major | category_minor | sub_category | no_of_policies | amount | unit |
|---|---|---|---|---|---|---|---|
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims Handled through TPAs | Only Cashless | 1339098 | 281123.3 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims Handled through TPAs | Only Reimbursement | 152369 | 77367.2 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims Handled through TPAs | Both Cashless and Reimbursement | 14944 | 10495.9 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims Handled through TPAs | Benefit Based | 1925 | 418.29 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims Handled through TPAs | Total | 1508336 | 369404.69 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims handled directly | Only Cashless | 399912 | 112504.02 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims handled directly | Only Reimbursement | 88776 | 90841.59 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims handled directly | Both Cashless and Reimbursement | 2743 | 2914.67 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims handled directly | Benefit Based | 5910 | 22180.96 | no_of_policies in absolute number, amount in rupees lakh |
| 2022-23 | Details of Claims Development | Claims outstanding at the beginning of the fiscal year | For Claims handled directly | Total | 497341 | 228441.24 | no_of_policies in absolute number, amount in rupees lakh |
Insurance Regulatory and Development Authority of India. Year and Details of Claims Development and Aging - Health Insurance Business (Excluding Travel and Personal Accident) [Data set]. Dataful. https://dataful.in/datasets/21027
