Webvii. Pre -hospitalization period: days viii. Post -hospitalization period: days b) Claim for Domiciliary Hospitalization: Yes No (If yes, provide details in annexure) c) Details of Lump sum / cash benefit claimed: i. Hospital Daily cash: Rs. Rs. Rs. iii. Critical Illness benefit: v. Pre/Post hospitalization Lump sum benefit: ii. Surgical Cash ... WebClaim form duly signed iii. Post-hospitalization expenses v. Ambulance Rs.Charges: Rs. Rs. iv. Health-Check up cost: vi. Others (code): Total Rs. Rs. Copy of the claim intimation, if any Hospital Main Bill Hospital Break-up Bill Hospital Bill Payment Receipt vii. Pre -hospitalization period: days viii. Post -hospitalization period: days
Star Health Claims Services, Cashless Medical Policy
WebSend us your documents and claim form. If you are unable to submit your claim online, you can choose one of the following channels to submit your claim during this period. Email … Web1. Your doctor advises treatment or hospitalization. 2. Intimate the claim on your health insurance. 3. Visit Network hospital (For cashless claim) or Visit a hospital of your choice … ヴァシリーサ 香
DETAILS OF PRIMARY INSURED (SECTION A)
WebCLAIM FORM - PART B TO BE FILLED BY THE HOSPITAL The issue of this Form is not to be taken as an admission of liability Please include the original preauthorization request form in liu of PART A a. b. Name of the hospital: Hospital ID: c. Type of Hospital: Network Non Network c. Pre-authorization obtained: e. Webvii. Pre -hospitalization period: days viii. Post -hospitalization period: days b) Claim for Domiciliary Hospitalization: Yes No (If yes, provide details in annexure) c) Details of Lump … WebStep 1: Complete the claim form. Step 2: Submit claim form together with supporting documents through your Financial Consultants or at the Customer Service Center. … pagamenti pubblici