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  • List of Docs of Insuranceccompany

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    Aishwarya Lakshmi Srikanthan
    5 views1 page
    The document lists various medical claim documents submitted for insurance reimbursement, including the original claim form, copies of notification and hospital documents, pharmacy bills, doctor's reports, and copies of identity documents. It also includes forms for acknowledgement, requests, and electronic fund transfers, with specifications on whether each document is an original or photocopy and the number of pages.

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    List of Docs of insuranceccompany

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    The document lists various medical claim documents submitted for insurance reimbursement, including the original claim form, copies of notification and hospital documents, pharmacy bills, doctor's reports, and copies of identity documents. It also includes forms for acknowledgement, requests, and electronic fund transfers, with specifications on whether each document is an original or photocopy and the number of pages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    5 views1 page

    List of Docs of Insuranceccompany

    Uploaded by

    Aishwarya Lakshmi Srikanthan
    The document lists various medical claim documents submitted for insurance reimbursement, including the original claim form, copies of notification and hospital documents, pharmacy bills, doctor's reports, and copies of identity documents. It also includes forms for acknowledgement, requests, and electronic fund transfers, with specifications on whether each document is an original or photocopy and the number of pages.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Original /

    Document name Pages


    Photocopy
    Claim form duly signed Original 4
    Copy of the Claim Intimation Original 1
    Hospital Main bill Original
    Hospital break-up bill Original
    Hospital bill payment receipts Original
    Hospital discharge summary Original
    Pharmacy bills Original
    ECG report Photocopy
    Doctor’s Investigation report Original
    Doctor’s Prescription Original
    Investigation report – Fibrosis report Photocopy
    Others Original
    CKYC Form duly signed Original 3
    ID proof - attested (Aadhaar, PAN) Photocopy 2
    Cancelled Cheque leaf Original 1
    Claim Acknowledgement sheet Original 1
    Documents Request form Original 1
    Electronic Clearance form Original 2

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