Raheja QBE General Insurance pre-auth form, portal and email ID

Download the Raheja QBE General Insurance pre-authorisation form, send it through the rahejaqbe.com portal, and attach the documents below. Raheja QBE General Insurance is a private general insurance company; the cashless decision is due within one hour under IRDAI rules.

Step by step

  1. Check the patient's health card

    Note the policy number, member ID and sum insured, and check who processes cashless: Raheja QBE General Insurance itself or a TPA named on the card. That decides where this form goes.

  2. Take the Raheja QBE General Insurance pre-auth form

    Use the Raheja QBE General Insurance format if you have it, or the standard IRDAI cashless request form, which most insurers and TPAs accept.

  3. Fill it and attach the documents

    Patient part and declaration by the patient or attendant; clinical part by the treating doctor — duration of illness, provisional diagnosis with ICD-10 code, line of treatment and a cost estimate by head. Attach the documents listed below.

  4. Send it in time

    Upload it on the Raheja QBE General Insurance provider portal (rahejaqbe.com) with the documents below. Keep the reference number the portal or the reply gives you. Most policies require intimation within 24 hours of an emergency admission and 48–72 hours before a planned one.

  5. Track the decision and the discharge

    The cashless decision is due within one hour and final discharge authorisation within three hours of the hospital's request (IRDAI master circular, May 2024). Answer any query the same day.

Who handles Raheja QBE General Insurance cashless requests

Raheja QBE General Insurance is a private general insurer that sells health cover alongside motor, travel and other insurance. Retail health claims are usually handled by its own health claims team; some group (employer) policies are serviced by a TPA. Check the patient's e-card: if a TPA is named there, the pre-auth goes to that TPA; if not, it goes to Raheja QBE General Insurance.

Documents to attach

Retail policy or group policy?

A retail Raheja QBE General Insurance policy bought by the patient is usually handled by Raheja QBE General Insurance's own health claims team. A group policy from an employer may be serviced by a TPA, and may have its own rules on room rent, co-pay and maternity. The health card shows which applies.

Avoid a query

Most pre-auth queries come from three gaps: no duration of illness, no ICD-10 code, and a cost estimate given as one figure. The full field-by-field list is in how to fill a pre-auth form.

If Raheja QBE General Insurance queries or denies the pre-auth

A query is not a rejection. Reply the same day, answering only what was asked, with the supporting document attached — see how to reply to a pre-auth query.

A cashless denial is not a claim rejection. The patient can pay, then file a reimbursement claim with Raheja QBE General Insurance within the policy's time limit — the denial is often reversed when the full hospital file is seen. If a claim is finally rejected, it can be reconsidered through the grievance officer, IRDAI's Bima Bharosa and the Insurance Ombudsman.

Related guides

Raheja QBE General Insurance at a glance

All pre-auth forms · Recover an unpaid Raheja QBE General Insurance claim · Rejected claim assistance for patients

Pre-auth forms of other insurers and TPAs

Where can I download the Raheja QBE General Insurance pre-auth form?

On this page. Medilock keeps the current Raheja QBE General Insurance pre-authorisation form as a free PDF for hospitals — a hospital name and email are asked once per device. If no form is on file, the standard IRDAI cashless request form is accepted by most insurers and TPAs.

What is the Raheja QBE General Insurance pre-auth email ID?

No pre-auth email ID is on file for Raheja QBE General Insurance; requests are raised on the provider portal (rahejaqbe.com). If your hospital has been given an email ID, use the one in your empanelment letter.

How long does Raheja QBE General Insurance take to approve a pre-auth?

Under IRDAI's 2024 master circular the decision is due within one hour of the request, and final discharge authorisation within three hours.

What if Raheja QBE General Insurance denies cashless?

The patient can still pay and claim reimbursement. If the reimbursement is rejected too, it can be reconsidered through the grievance officer, Bima Bharosa and the Insurance Ombudsman — free, within one year, up to ₹50 lakh.

Raheja QBE General Insurance का प्री-ऑथ फ़ॉर्म कहाँ से डाउनलोड करें?

इसी पेज से — अस्पतालों के लिए मुफ़्त। फ़ॉर्म भरकर rahejaqbe.com पोर्टल पर अपलोड करें। फ़ैसला IRDAI के नियम के अनुसार एक घंटे में आना चाहिए।