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Request for Cashless Authorization

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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

Fill Claim form Online & Print

CKYC Annexure A1 [IRDAI]

237kb



Respective Insurance company wise Claim Forms for download

The New India Assurance Company Ltd

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Oriental Insurance Company

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National Insurance

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MAGMA HDI General Insurance Company Ltd.

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United India

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United India

Covid State Health Authority Letter

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United India

Covid Undertaking Form - Retail

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United India

Covid Undertaking Form - Group

109kb

ICICI Lombard

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Bharti AXA

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Max Bupa Health Insurance Co. Ltd

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Liberty Videocon Insurance

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459kb

Reliance General Insurance

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459kb

HDFC ERGO

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Universal Sompo

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Royal Sundaram

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IFFCO-TOKIO

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TATA AIG

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Religare Health Insurance Company Limited

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136kb

Religare Health Insurance Company Limited

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Zuno General Insurance Limited

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