Quick Answer: To check your Heritage TPA claim status, visit portal.heritagehealthtpa.com/auth/searchclaimstatus → select your insurance company → enter your policy number, card number, policy year, and employee ID → click Submit. Your Heritage Health TPA claim status will be displayed instantly. It is always stressful to wait for an update on a health insurance claim, particularly after being discharged from the hospital. If you're trying to check your Heritage Health TPA claim status, the process takes only a few minutes and can be completed entirely online. From cashless claim approval to reimbursement, you would want to keep a finger on your claim status to stay updated or to send any further documents if needed. This guide tells you all in simple language with easy step-by-step instructions. If you're unfamiliar with how TPAs work in health insurance, you may also want to understand what a TPA in insurance is before tracking your claim.

What is Heritage Health TPA?

Heritage Health Insurance TPA Pvt. Ltd. Is a Third Party Administrator (TPA) by IRDAI-approved which administers health insurance claims on behalf of a few major insurance companies in India. In most cases, you don't need to follow up directly with the insurer because Heritage manages the claim process on its behalf. Instead, all your claims are administered by Heritage Health TPA, which takes care of verification, authorization and settlement. Heritage Health TPA services a large number of group health insurance policyholders across India — including bank staff covered under IBA policies, LIC employees, and corporate employees. If your health card shows the Heritage Health TPA logo, they are your claims manager.

Heritage Health TPA Pvt. Ltd. Key Details:

Detail  Information 
Full Name  Heritage Health Insurance TPA Pvt. Ltd. 
IRDAI Approved  Yes 
Headquarters  Kolkata, West Bengal 
Customer Care  1800 102 4547 (Toll-Free) 
Email  heritage_health@bajoria.in 
Claim Status Portal  portal.heritagehealthtpa.com 
Services  Cashless claims, reimbursement, e-cards, hospital network 

How to Check Heritage TPA Claim Status Online

The Heritage Health TPA claim status can be checked using the following process: Step 1: Visit the official portal: 👉 portal.heritagehealthtpa.com/auth/searchclaimstatus Step 2: Choose your insurance company from the drop-down box Step 3: Enter the following details:
  • Policy Number
  • Card Number (from your Heritage Health TPA card)
  • Policy Year
  • Employee ID
Step 4: Click Submit. Your Heritage Health TPA claim status will be displayed on screen Step 5: You may also receive claim updates through SMS or email on your registered contact details. Before checking your claim status, keep the following details ready: Health card, Policy wordings & your claim reference number (CCN) appearing in any of the letters or emails you would have received from Heritage.

Heritage TPA Claim Status - What the Status Means

Once you submit your details, the portal shows your real-time Heritage Health TPA claim status. Here's what each status typically means:
Status Shown  What It Means 
Pending  Claim received, documents under review 
Under Review  TPA is verifying policy and treatment details 
Query Raised  Additional documents or information required from you 
Approved  Claim sanctioned — amount confirmed 
Paid  Amount transferred or settled with hospital 
Rejected  Claim not approved — reason will be specified 
If your status shows "Query Raised", act quickly. Heritage will send a letter or email listing exactly what they need. Responding within 15 days is critical; delayed responses can result in the claim not being processed further.

Check Heritage TPA Claim Status on the Mobile App

Heritage Health Insurance TPA has a mobile app available for both Android and iOS. Through the app, you can:
  • View your Heritage Health TPA claim status
  • Download your e-card
  • Find network hospitals in your city
  • Register a grievance
  • Submit intimation for a new claim
The Android version is updated frequently. Some iOS users have reported missing certain claim status features; if that happens, checking on the portal directly works better. App Name: Heritage Health Insurance Available on: Google Play Store and Apple App Store

Heritage TPA Claims Process – Cashless vs Reimbursement

Understanding the claims process helps you track the right type of claim.

Cashless Claim

A cashless claim means the hospital settles directly with Heritage Health TPA; you don't pay out of pocket for covered expenses.
  • Must be treated at a Heritage Health TPA network hospital
  • Inform Heritage at least 24 hours before planned admission (4 hours for emergencies)
  • Present your health card at the hospital insurance desk
  • Hospital sends pre-authorisation request to Heritage. If you're not sure how the approval process works, read our guide on the health insurance claim process.
  • Heritage approves and settles directly with the hospital

Reimbursement Claim

If you were treated at a non-network hospital or paid upfront, you claim reimbursement after discharge.
  • Collect all original bills, discharge summary, and reports
  • Submit documents to Heritage Health TPA within 30 days of discharge
  • Track your Heritage Health insurance TPA claim status on the portal
  • Approved amount is transferred to your bank account via NEFT

Heritage Health TPA Network Hospitals

One of the most important things to check before admission is whether your hospital is part of the Heritage Health TPA hospital list (network hospitals). Cashless treatment is only available at empanelled hospitals. You may also find it useful to see how network hospital lists work using the Care Health Insurance hospital list example. The Heritage Health TPA hospital list with network hospitals can be accessed on the official portal under the network hospitals section. How to find Heritage network hospitals:
  1. Visit portal.heritagehealthtpa.com
  2. Click on "Network Hospitals" or "Hospital Search"
  3. Enter your city and PIN code
  4. Get the list of empanelled hospitals near you
Always confirm with the hospital directly that they currently accept cashless claims under Heritage before admission — hospital empanelment can change.

Heritage Health TPA Claim Status for Bank Staff and LIC Employees

Heritage Health TPA is widely used for group health insurance policies covering:
  • Bank staff under IBA (Indian Banks' Association) medical schemes
  • LIC employees and their families
  • Corporate employees of various organisations
If you are checking Heritage Health TPA claim status for bank staff or Heritage Health TPA IBA claim status, the same portal and steps apply — but your Employee ID should be your bank employee number, and you should select your respective bank or PSU as the insurance company from the drop-down. For Heritage Health TPA LIC staff claim status, select LIC as your insurance company during the portal search.

Heritage Health TPA Customer Care

If the portal doesn't give you a clear answer, or your claim has been stuck for more than a week, reach out directly:
Contact Method  Details 
Toll-Free Helpline  1800 102 4547 
Email (General)  heritage_health@bajoria.in 
Mumbai Office Email  heritagemumtpa@bajoria.in 
Mumbai Office Phone  (022) 6906 2500 / 2823 2503 
Portal Login  portal.heritagehealthtpa.com 
Please have your Claim Reference Number (CCN), policy number and date of treatment handy when you telephone or e-mail us. The CCN number is prefixed by HH followed by 9 digits, for example, HH871748610.

Is Your Health Insurance Working as Hard as It Should?

It shouldn't be that difficult dealing with claim portals & TPAs. Is your current group health insurance plan/individual policy just not working out? Slow claim support, narrow networks, limited hospitals, poor support - maybe it is time to look for a better health plan. Compare health insurance plans with better claims support, higher CSR and wider hospital networks. Before choosing a policy, review these benefits of health insurance in India. Explore Plans on E-Insure First Free. No spam. IRDAI-regulated. Instant quotes from 30+ top insurers.

Conclusion

Checking your Heritage Health TPA claim status online is simple and usually takes only a few minutes. Whether you've submitted a cashless or reimbursement claim, tracking the status regularly helps you avoid delays and respond quickly if additional documents are requested. Keep your policy number, health card details, and claim reference number handy for a smoother experience.

Frequently Asked Questions

How do I check my Heritage TPA claim status?

Visit portal.heritagehealthtpa.com/auth/searchclaimstatus, select your insurance company, and enter your policy number, card number, policy year, and employee ID. Your Heritage TPA claim status will be displayed immediately.

What is Heritage Health Insurance TPA?

Heritage Health Insurance TPA Pvt. Ltd. is an IRDAI-approved Third Party Administrator. If you want to compare it with other TPAs operating in India, you can also read about Good Health Insurance TPA Limited.

How long does Heritage TPA take to settle a claim?

Cashless claims are typically pre-authorised within 2–4 hours of request. Reimbursement claims are generally settled within 15–30 working days of receiving complete documentation. If your Heritage Health TPA claim status shows "Query Raised," respond within 15 days to avoid delays.

What if my Heritage TPA claim is rejected?

If your Heritage Health insurance TPA claim status shows "Rejected," you will receive a rejection reason. You have the right to escalate to your insurance company's grievance cell or approach IRDAI's Bima Bharosa portal if you believe the rejection is incorrect.

Can I check Heritage TPA claim status on a mobile app?

Yes. The Heritage Health Insurance app is available on Android and iOS. You can check Heritage Health TPA online claim status, download your e-card, and find network hospitals from the app.

What documents do I need to check Heritage TPA claim status?

You need your policy number, health card number, policy year, and employee ID. For reimbursement tracking, your Claim Reference Number (CCN) from your intimation letter is also useful.

Why is my Heritage claim showing "Under Review" for several days?

Claims can remain under review while the TPA verifies treatment details, hospital records, or policy coverage. If the status does not change for an extended period, contact customer support.

What should I do if Heritage asks for additional documents?

Submit the requested documents as soon as possible. Delays in responding may extend claim processing times.

Can I track both cashless and reimbursement claims online?

Yes. The Heritage claim status portal allows policyholders to track both cashless and reimbursement claims using their policy and card details. Written by the E-Insure First Team | India's trusted health insurance comparison platform einsurefirst.com | Helping you find the right cover since day one Reviewed by Health Insurance Researchers This article was reviewed for accuracy using official Heritage Health Insurance TPA resources, IRDAI-regulated health insurance information, claim support documentation, and publicly available policyholder resources available at the time of publication.