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Request for Cashless Authorization

498kb

Claim Intimation Format

459kb

ECS Form

131kb

Claim Form and MMR Format

1.56mb

Feedback Form

158kb

Standard Discharge Summary [IRDA]

12.2kb

Covid-Lockdown- Claim Submission Checklist

119kb

Check List for Claim Submission

408kb



Respective Insurance company wise Claim Forms for download

The New India Assurance Company Ltd

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498kb

Oriental Insurance Company

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459kb

National Insurance

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131kb

MAGMA HDI General Insurance Company Ltd.

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1.56mb

United India

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158kb

United India

Covid State Health Authority Letter

12.2kb

United India

Covid Undertaking Form - Retail

119kb

United India

Covid Undertaking Form - Group

109kb

ICICI Lombard

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459kb

Bharti AXA

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161kb

Max Bupa Health Insurance Co. Ltd

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459kb

Liberty Videocon Insurance

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459kb

Reliance General Insurance

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459kb

HDFC ERGO

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459kb

Universal Sompo

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459kb

Royal Sundaram

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1.05mb

IFFCO-TOKIO

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917kb

TATA AIG

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93kb

Religare Health Insurance Company Limited

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136kb

Religare Health Insurance Company Limited

OPD Form

88.1kb

Edelweiss General Insurance Company Limited

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359kb

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