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Maharashtra Moves to Speed Health Insurance Claims and Rein In Hospital Billing

State directives seek transparency with defined timelines for claim approvals.

Overview

  • Health Minister Prakash Abitkar convened IRDAI, major insurers and leading private hospitals at Mantralaya to tackle claim delays and inflated bills.
  • Hospitals were instructed to register on the IRDAI portal, keep details updated, and display clear treatment rate charts for patients.
  • The state is examining fixed time limits for claim approvals and standard treatment protocols to curb wide cost variation across hospitals.
  • Insurers and hospitals must submit regular data on approved and rejected claims and complaints, with IRDAI to share Maharashtra-specific complaint data for corrective action.
  • Inspections of private hospitals have begun, and violations may draw action under the Bombay Nursing Homes Registration Act.