Claim Procedure

If this is the first time that you are submitting claims to RHI, please assist to complete the claims form and email to claims@raffleshealthinsurance.com.

For subsequent claims, you can submit via e-claims portal.

Please take note that claim documents should be submitted within 90 days of treatment. Kindly retain the original claim documents for at least 6 months from the submission date. Generally, claims will be processed within 21 working days upon receipt of the completed claim documents. Once the claim is approved, you will be notified via email and the reimbursement will be credited into your bank account. You can also login to the e-claims portal to monitor your claim status.

Outpatient Claims

  1. Full completion of Outpatient Claim Form
  2. Final medical bills and receipts with breakdown cost of consultation, medication, laboratory tests, x-ray, including name of prescribed medicines and / or procedures
  3. The patient’s name must be clearly stated on the receipt or bill
  4. Medical reports, if available
  5. Copy of referral letter is required for specialist claim (valid for 12 months from date of issue)
  6. Copy of the attending physician’s prescription if you are claiming for purchase of drugs

Inpatient Claims (with no utilisation of LOG)

  1. Full completion of Hospital & Surgical Claim Form
  2. Inpatient Discharge Summary or Full completion of Attending Physician Statement Form by attending physician
  3. Final itemised hospital bills
  4. Final medical bills and receipts with breakdown cost of consultation, medication, laboratory tests, x-ray, including name of prescribed medicines and / or procedures for Pre & Post Hospitalisation Bill (if any)
  5. Medical reports, if available
  6. Copy of referral letter is required for specialist claim (valid for 12 months from date of issue)
  7. If you have already made a claim with another Insurer and are claiming the balance of the unpaid bill from us, kindly provide us with a copy of the Insurer’s settlement letter for our records, together with a certified true copy of the hospital bills

Inpatient Claims (with utilisation of LOG)

  1. A copy of the Inpatient Discharge Summary via e-claims portal
  2. Pre & post hospitalisation / surgery bills via e-claims portal

The information on this website is a summary and is meant as a guide only. Coverage is subjected to the terms conditions and exclusions of RHI’s polices. Any discrepancy between the information on this website and policies is unintentional.