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Here are few useful forms & lists. You would need them while utilizing your Mediclaim Insurance.

Cashless Authorisation Forms

When you have decided which hospital to take treatment from (almost 95% hospitalizations in India are non-emergency & hence you would have adequate time to select the hospital for treatment to be taken), the next step is to go to the hospital atleast 48 hours in advance & fill up a Cashless Authorisation Form. Generally, this form is also available with the hospital. The fields that you MUST know for while filling the form are:

  • The policy no. (In case of Company Offered Group Mediclaim , the name of company would do)
  • The TPA ID No. (In case of Company Offered Group Mediclaim, mention your Employee ID)

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Reimbursement Claim Form

In case, you have not taken the treatment in the Network Hospital, you will have to submit all the original documents (as per the list made available here for your reference) along with the Reimbursement Claim Form issued by your Insurer. Here are some of the forms for various insurer.

Oriental Insurance - Individual/Personal Health Insurance

Claim Form Part 1 - to be filled by you

Claim Form Part 2 - to be filled by treating doctor


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Did you know?
Medimanage is the only Dedicated Health Insurance Broker in India.
Medimanage has managed more than 25000 claims end-to-end.
Medimanage insures more than 2 Lakh lives every year.
Testimonials
I have been interacting with Snehal Dhanu for my heath insurance policy. I am convinced that I have been able to decide the best policy I would like to take mainly because of her unbiased approach to giving me genuine and sincere advice. The other good point about our interaction is that she would check and confirm with her supervisor if she herself had a doubt and hence the sincerity. She also was very patient in answering a lot of questions explaining pros and cons of different options over a period of few weeks and I never felt that I was being pressured in to going for a certain policy. On behalf of my family, I would like to wish her the very best and thanks to Medimanage.
Nitin Mogral


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