Downloads

Downloads

1 Ericson TPA Cashless Approval Copy
2 Ericson TPA Claim Checklist
3 Ericson TPA Credit Request Form
4 Ericson TPA Hospital Information Format for Empanelment
5 MOU Copy
6 New India Claim Form
7 Oriental Insurance Claim Form
8 United India Claim Form
9 List of Non-admissible Expenses - IRDA
10 Standard Claim Form Copy Part A ( TO BE FILLED BY INSURED )
11 Standard Claim Form Part B ( TO BE FILLED BY HOSPITALS )
12 Standard Discharge Summary Format
13 Standard Discharge Summary Guide
14 Standard Final Bill
15 Standard Preauth Request Form
16 National Claim Form