Claims Document List

Document List

  • Patient photo id proof name should match with the name provided in the policy.
  • Claim form duly filled with stamp and sign of Hospital.
  • Photocopy of Unique Health ID card of the patient.
  • Photocopy of Company ID Card of the employee
  • Cancelled Cheque copy
  • Patient id proof copy (Aadhaar Card, PAN CARD, Voter id card or any other proof)
  • Detailed Original Discharge Summary with Complaints, Diagnosis, Detail line of treatment, Investigation, Future advice on discharge with seal and sign of hospital.
  • Original Pre-printed Hospital Final Bill / Consolidated hospital bill with bill number with seal and sign of hospital.
  • Original Break up of Final Bill / Consolidated bill with seal and sign of hospital.
  • Original Pre-printed Payment Receipt of final bill and advance paid with receipt number with seal and sign of hospital.
  • Original Investigation Reports (if any) with seal and sign of hospital.
  • Attested copies of Indoor Case Papers of hospitalization with admission notes and nurse notes (if required)
  • All implant sticker with invoice (including IOL stickers).
  • Original all above mentioned documents to be submitted
  • Original USG report with scan
  • Original letter from treating doctor stating Obstetric history (Gravida, Para, Living children, Abortion).
  • Original Attested copy of FIR or MLC (Medico Legal Certificate)
  • Original Letter from treating doctor stating circumstances and injuries sustained due to RTA (Road Traffic Accident)
  • Original Letter from treating doctor for any evidence of alcohol / other sedative substance during accident.
  • Original X-ray with report & MRI Scan with report