Claims and Documentation

MLC and FIR

An MLC (Medico-Legal Certificate) and FIR (First Investigation Report) are essential for claims related to accidents or trauma. The MLC details injuries, while the FIR documents the incident. Submit these promptly to avoid claim rejection and ensure a smoother process.

Government Approved ID Proofs

A government-approved ID proof is mandatory for your insurance claim. Submit a photocopy of a valid ID for both the policyholder and the patient to verify identities and comply with regulations. Timely submission helps avoid delays and ensures a smoother claims process.

Justification Letter from the Treating Doctor

A Justification Letter from your treating doctor is essential for your insurance claim. It clarifies the diagnosis and treatment, helping to avoid claim closure. Submit it promptly to expedite the evaluation process.

Discharge Summary

A detailed discharge summary is essential for your insurance claim, providing proof of hospitalisation and crucial medical information. Timely submission is vital to avoid claim rejection. By ensuring you have this document, you can streamline the claim process and improve your chances of a successful outcome.

Initial Consultation Note

The initial consultation note is essential for your insurance claim, validating the need for hospitalisation. Submit it promptly to avoid claim rejection and speed up the process for a successful outcome.

Cancelled Cheque and Bank Details

Understand the importance of an original cancelled cheque for your insurance claim. This cheque validates your bank details and ensures a smooth electronic fund transfer of the approved amount. Timely submission is crucial to avoid delays. Remember, it must include the policyholder’s name, or a bank-attested passbook can be used instead. Follow these guidelines for a hassle-free claim settlement.

Original Pre-numbered Receipts

Learn why original pre-numbered receipts are crucial for your insurance claim. These receipts verify payments to hospitals and are essential for a smooth reimbursement process.

Main Bill Break-Up

Discover the importance of an itemised hospital bill in the claim settlement process. Learn how detailed billing ensures transparency and efficiency for hassle-free healthcare claims.

IRDAI Claim Form Part A

Learn how to accurately fill out the healthcare claim form, a crucial step for successful insurance claims. Discover the importance of each section, tips to avoid delays, and essential guidelines to ensure your claim is processed smoothly.

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