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List of Hospitalization Documents
  1. Claim form duly filled & signed by you
  2. Photo ID ( Aadhar Card ) & Address Proof of Employee as per KYC Norms
  3. Original Discharge card / Discharge summary as per proper format
  4. Original Hospital Bills with Original Advance and Final Payment Receipts
  5. Break-Up for Medicines, Laboratory charges and Consumables (if any)
  6. Original reports of all investigations with Original Doctor’s Prescriptions and Original Bill
  7. Original Medicine Bills with Original Doctor’s Prescriptions
  8. Original Bills for Doctor Consulting Fees with Original Consultation Paper
  9. Surgical appliances if purchased by you, along with duly stamped receipt
  10. In-Patient-Department (IPD) papers and any other document, if required post scrutiny of claim papers


Specific Documents for certain Ailments (Cataract Claims)

IOL Sticker [Intra Ocular Lens Sticker] along with original purchase Tax Invoice of ens used  in surgery.

Ascan Report (biometry report).



Documents Specific Ailments

Angioplasty – Stent sticker and CAG report required.

Knee Replacement / joint Replacement –Stent Sticker and purchase Tax Invoice of Implant.

Bypass Surgery (Coronary artery bypass graft) –CAG report required



Accidental Claims

Attested copy of First Information Report (FIR) from police or Medico-Legal Case certificate (MLC) from hospital.

Treating doctor’s certificate stating whether patient was under influence of alcohol/other narcotics substance during the accident.

History of Accident/Fall (How, When & Where) form treating doctor.

In case of Death- post mortem report & death certificate.



Chemotherapy / Radiotherapy / Dialysis Claims

Doctor’s letter stating number of sittings and frequency of each sitting.

Day care summary from hospital.



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Dombivli(E),421201



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+91 99 300 19 270 / 99 303 29 270 / 96 198 24 440


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