Common use of Collection of Claim Documents Clause in Contracts

Collection of Claim Documents. i. Wherever You have opted for a reimbursement of expenses, You may submit the following documents for reimbursement of the claim to Our branch or head office at your own expense not later than 15 days from the date of discharge from the Hospital. You can obtain a Claim Form from any of our Branch Offices or download a copy from our website xxx.xxxxxxxxxxxxxxxxx.xx ii. List of necessary claim documents to be submitted for reimbursement are as following: Copy of photo ID of patient Hospital Discharge summary Operation Theatre notes Hospital Main Bill Hospital Break up bill Investigation reports Doctors reference slip for investigation Pharmacy Bills MLC/ FIR report, Post Mortem Report if applicable and conducted KYC documents (Photo ID proof, address proof, recent passport size photograph) Cancelled cheque for NEFT payment Payment receipt. We may call for any additional documents/information as required based on the circumstances of the claim. iii. Our branch offices shall give due acknowledgement of collected documents to You. In case You/Insured Person delay submission of claim documents as specified in 5.(a) above, then in addition to the documents mentioned in VII.5. (a) above, You are also required to provide Us the reason for such delay in writing. In case You delay submission of claim documents, then in addition to the documents mentioned above, You are also required to provide Us the reason for such delay in writing. We will accept such requests for delay up to an additional period of 30 days from the stipulated time for such submission. We will condone delay on merit for delayed Claims where the delay has been proved to be for reasons beyond Your/Insured Persons control.

Collection of Claim Documents. i. Wherever You have opted for a reimbursement of expenses, You may submit the following documents for reimbursement of the claim to Our branch or head office at your own expense not later than 15 days from the date of discharge from the Hospital. You can obtain a Claim Form from any of our Branch Offices or download a copy from our website xxx.xxxxxxxxxxxxxxxxx.xx ii. List of necessary claim documents to be submitted for reimbursement are as following: Copy of photo ID of patient Hospital Discharge summary Operation Theatre notes Hospital Main Bill Hospital Break up bill Investigation reports Original investigation reports, X Ray, MRI, CT films, HPE, ECG Doctors reference slip for investigation Pharmacy Bills MLC/ FIR report, Post Mortem Report if applicable and conducted KYC documents (Photo ID proof, address proof, recent passport size photograph) Cancelled cheque for NEFT payment Payment receipt. We may call for any additional documents/information as required based on the circumstances of the claim, wherever the case in under further investigation or available documents do not provide clarify. iii. Our branch offices shall give due acknowledgement of collected documents to You. In case You/Insured Person delay submission of claim documents as specified in 5.(a) above, then in addition to the documents mentioned in VII.5. (a) above, You are also required to provide Us the reason for such delay in writing. In case You delay submission of claim documents, then in addition to the documents mentioned above, You are also required to provide Us the reason for such delay in writing. We will accept such requests for delay up to an additional period of 30 days from the stipulated time for such submission. We will condone delay on merit for delayed Claims where the delay has been proved to be for reasons beyond Your/Insured Persons control.

Collection of Claim Documents. i. Wherever You have opted for a reimbursement of expenses, You may submit the following documents for reimbursement of the claim to Our branch or head office at your own expense not later than 15 days from the date of discharge from the Hospital. You can obtain a Claim Form from any of our Branch Offices or download a copy from our website xxx.xxxxxxxxxxxxxxxxx.xx ii. List of necessary claim documents to be submitted for reimbursement are as following: Copy of photo ID of patient Hospital Discharge summary Operation Theatre notes Hospital Main Bill Hospital Break up bill Investigation reports Original investigation reports, X Ray, MRI, CT films, HPE, ECG Doctors reference slip for investigation Pharmacy Bills MLC/ FIR report, Post Mortem Report if applicable and conducted KYC documents (Photo ID proof, address proof, recent passport size photograph) Cancelled cheque for NEFT payment Payment receipt. We may call for any additional documents/information as required based on the circumstances of the claim. iii. a. Our branch offices shall give due acknowledgement of collected documents to You. In case You/Insured Person delay submission of claim documents as specified in 5.(a) above, then in addition to the documents mentioned in VII.5. (a) above, You are also required to provide Us the reason for such delay in writing. In case You delay submission of claim documents, then in addition to the documents mentioned above, You are also required to provide Us the reason for such delay in writing. We will accept such requests for delay up to an additional period of 30 days from the stipulated time for such submission. We will condone delay on merit for delayed Claims where the delay has been proved to be for reasons beyond Your/Insured Persons control.