| S No | Name | |
| 1 | ECLAIM DISCLAIMER |
|
| 2 | CLAIM FORM FOR REIMBURSEMENT |
|
| 3 | CLAIM FORM FOR CASHLESS |
|
| 4 | PRE-AUTHORIZTION FORM |
|
| 5 | CASHLESS & REIMBURSEMENT CLAIM PROCESS |
|
| 6 | Non-Admissible Expenses |
|
| 7 | CLAIM INTIMATION FORM |
|
| 8 | Cashless Claim Form and Pre-Authorization Request form (Part c) |
|
| 9 | Cashless Declaration From for Network Hospital |
|
| 10 | Cashless Declaration Form For PPN Hospital |
|
| 11 | For Hospitals - Cashless Facility Admission Procedure |
|
| 12 | Standard Discharge Summary as per Health Regulation 2016 |
|
| 13 | Standard Final Bill and Break-up as per Health Regulation 2016 |
|
| 14 | Process Flow of De-empanelment of Service Provider |
|
| 15 | CHECK LIST_CLAIM DOCUMENT_REIMB |
|
| 16 | Anti-Money Laundering Guidelines |
|
| 17 | CKYC FORM |
|
| 18 | LG CLAIM FORM |
|