Claim status
Niva Bupa claim status: how to check it, and what each status means
To check your Niva Bupa claim status, use the claim status page on rules.nivabupa.com, the Niva Bupa Health app or the helpline 1860-500-8888 (charged). Keep your claim or intimation number and your policy number ready. superclaim is not Niva Bupa.
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superclaim is not Niva Bupa; for your claim status, the official channels are the ones below, taken from transactions.nivabupa.com. We cannot see or change your claim on the insurer's systems.
Niva Bupa's official channels
- ๐Claim status pagerules.nivabupa.com/customer-service/?page=claim_statusOfficial claim status page, linked as Track Claim from the health claim pageFrom transactions.nivabupa.com/claims/pages/health-claim.aspx, checked 28 Sep 2026
- ๐ฑAppNiva Bupa Health appCustomer app: claims can be tracked and additional or missing claim documents submitted in itFrom transactions.nivabupa.com/claims/pages/health-claim.aspx and nivabupa.com, checked 28 Sep 2026
- ๐Phone1860-500-8888Customer helpline, also the claim helpline (1860 number, not toll-free)From transactions.nivabupa.com/claims/pages/health-claim.aspx and nivabupa.com, checked 28 Sep 2026
- โ๏ธEmail[email protected]Senior citizens' priority assistanceFrom transactions.nivabupa.com/pages/grievance-redressal.aspx, checked 28 Sep 2026
- ๐Claim formtransactions.nivabupa.com/pages/downloads.aspxDownload Center, which lists the reimbursement and pre-authorisation claim formsFrom nivabupa.com, checked 28 Sep 2026
- ๐Claim form (PDF on the insurer's site)transactions.nivabupa.com/pages/doc/claim_form/Reimburseme...Reimbursement claim form, Part A and Part B (PDF)From transactions.nivabupa.com/claims/pages/health-claim.aspx, checked 28 Sep 2026
We list only channels we could read on Niva Bupa's own website. We did not find a WhatsApp number stated for claims there, so it is left out.
Niva Bupa's website names the company as Niva Bupa Health Insurance Company Limited (formerly Max Bupa Health Insurance Company Limited) (transactions.nivabupa.com/pages/grievance-redressal.aspx, checked 28 Sep 2026).
How to check it, step by step
- Keep your numbers ready. Find your claim or intimation number and your policy number. The claim number comes when the claim is logged; the policy number is on your schedule and health card.
- Open the official claim status page. Go to Niva Bupa's own claim status page at rules.nivabupa.com/customer-service/?page=claim_status. Check the address before you type anything.
- Enter what it asks for. The page asks for the claim ID sent by SMS.
- Read the status and act on it. Match the status to the table below. If there is a query, answer it in writing and keep proof of the date.
What you need to hand
- Claim or intimation number. Given when the claim is logged, and printed on authorisation and query letters.
- Policy number. On your policy schedule and your health card or e-card.
- The patient's details as on the policy. Name and date of birth, spelled the same way.
Niva Bupa's claim status page asks for the claim ID sent by SMS (from transactions.nivabupa.com/claims/pages/claimdocupload.aspx, checked 28 Sep 2026).
What each status means
- ๐ฅIntimatedThe insurer or its TPA has logged the claim and given it a number.
- โณUnder processThe claim is being read: the hospital's cashless request, or your reimbursement file.1 hour for the insurer to decide on a cashless request
- โQuery raisedThe insurer or TPA wants more information or a document before it decides.
- โ Approved or settledCashless: an amount is authorised. Reimbursement: the insurer has paid, or is paying, the amount shown.3 hours for final authorisation at discharge, after the hospital asks15 days to settle a reimbursement claim, from when you submit it
- โ ๏ธRejected or partly settledThe insurer is paying nothing, or less than you claimed.14 days for the insurer to resolve your written complaint
| Status | What it means | What to do |
|---|---|---|
| Intimated | The insurer or its TPA has logged the claim and given it a number. | Note the claim or intimation number. Every follow-up needs it. |
| Under process | The claim is being read: the hospital's cashless request, or your reimbursement file. | For cashless, ask the hospital desk what time it sent the request. The clock runs from receipt. |
| Query raised | The insurer or TPA wants more information or a document before it decides. | Read the query letter, send exactly what it asks for in writing, and keep proof of the date you sent it. |
| Approved or settled | Cashless: an amount is authorised. Reimbursement: the insurer has paid, or is paying, the amount shown. | Check the amount against your bill. Any cut must name the policy term behind it. |
| Rejected or partly settled | The insurer is paying nothing, or less than you claimed. | Ask for the specific policy clause relied on, then write to the insurer's grievance officer. |
The IRDAI time limits
These limits come from IRDAI and apply to every insurer, Niva Bupa included. Your policy wording may show older timelines; the 2024 master circulars are the current IRDAI position.
- 1 hourfor the insurer to decide on a cashless request
- 3 hoursfor final authorisation at discharge, after the hospital asks
- 15 daysto settle a reimbursement claim, from when you submit it
- 14 daysfor the insurer to resolve your written complaint
| What | Limit | Source |
|---|---|---|
| For the insurer to decide on a cashless request | 1 hour | Master Circular on Health Insurance Business, 29 May 2024, para 15(b) |
| For final authorisation at discharge, after the hospital asks | 3 hours | Master Circular on Health Insurance Business, 29 May 2024, para 16(a) |
| To settle a reimbursement claim, from when you submit it | 15 days | Master Circular on Protection of Policyholders' Interests, 5 September 2024 |
| For the insurer to resolve your written complaint | 14 days | Master Circular on Protection of Policyholders' Interests, 5 September 2024 |
| If a claim is paid late | Interest at bank rate plus 2% | Master Circular on Protection of Policyholders' Interests, 5 September 2024 |
What Niva Bupa's own pages say
- Telling the insurer about a stay. Health claim page, stated for cashless claims: Planned: at least 48 hours before treatment; emergency: within 24 hours of admission From transactions.nivabupa.com/claims/pages/health-claim.aspx, checked 28 Sep 2026
- Sending reimbursement documents. Health claim page, reimbursement claims: Within 30 days from the date of discharge From transactions.nivabupa.com/claims/pages/health-claim.aspx, checked 28 Sep 2026
- Documents it lists. Health claim page, short list: All original and relevant medical documents, final bill with breakup, invoices and receipts; KYC documents if the claim is 1 lakh or more From transactions.nivabupa.com/claims/pages/health-claim.aspx, checked 28 Sep 2026
These are from Niva Bupa's website. Your policy wording sets your deadline; if the two differ, follow the shorter one.
If the claim is stuck, cut or rejected
- Write to the insurer's grievance officer with your policy and claim numbers. The insurer must resolve it within 14 days.
- Register it on IRDAI's Bima Bharosa portal at bimabharosa.irdai.gov.in if you want it tracked. This step is optional.
- Go to the Insurance Ombudsman within one year if the insurer rejects your complaint, does not reply within a month, or replies in a way you do not accept.
The full steps are in our guide to what to do when a claim is rejected or cut.
How superclaim helps
Send us the status, the query letter or the settlement letter on WhatsApp. A person reads it, explains it in plain words, and tells you what the insurer is asking for and what to send back. We do not replace the insurer's channels, and we never ask for an OTP, card or bank details.
Questions
How do I check my Niva Bupa claim status?
Use the claim status page on rules.nivabupa.com, the Niva Bupa Health app or the helpline 1860-500-8888 (charged). These are Niva Bupa's own channels, taken from its website.
What do I need to check my Niva Bupa claim status?
Niva Bupa's claim status page asks for the claim ID sent by SMS. Keep your claim or intimation number and your policy number ready as well.
How long can Niva Bupa take to settle my claim?
IRDAI's limits apply to every insurer. A cashless request must be decided within one hour and final discharge authorised within three hours. A reimbursement claim must be settled within 15 days of submission, or the insurer pays interest at bank rate plus 2%.
What does query raised mean on my claim?
The insurer or TPA wants more information or a document before it decides. Send exactly what the query asks for, in writing, and keep proof of the date. IRDAI's 2024 master circular says no claim shall be rejected or closed for want of documents or for delayed intimation.
Is superclaim part of Niva Bupa?
No. superclaim is not Niva Bupa and cannot see or change your claim. For your claim status, use Niva Bupa's official channels. A person at superclaim can explain a status or a query letter if you send it on WhatsApp.
Stuck on a claim?
Send your claim or policy details on WhatsApp and a person helps you through it.
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Sources
- Niva Bupa official website, transactions.nivabupa.com/pages/grievance-redressal.aspx (accessed 28 Sep 2026)
- Niva Bupa official website, transactions.nivabupa.com/claims/pages/health-claim.aspx (accessed 28 Sep 2026)
- Niva Bupa official website, transactions.nivabupa.com/claims/pages/claimdocupload.aspx (accessed 28 Sep 2026)
- Niva Bupa official website, nivabupa.com (accessed 28 Sep 2026)
- IRDAI Master Circular on Health Insurance Business (IRDAI/HLT/CIR/PRO/84/5/2024), 29 May 2024 (accessed 28 Sep 2026)
- IRDAI Master Circular on Protection of Policyholders' Interests (IRDAI/PP&GR/CIR/MISC/117/9/2024), 5 September 2024 (accessed 28 Sep 2026)
- IRDAI Bima Bharosa grievance portal (accessed 28 Sep 2026)
- Insurance Ombudsman Rules, 2017, as amended up to 9 November 2023 (Council for Insurance Ombudsmen) (accessed 28 Sep 2026)