Claims Form Guidelines
Complete guide to filling and submitting your health insurance claims accurately.
Required Documents
Ensure you have all necessary documents ready before submitting your claim.
Basic Documents
- Completed claims form with all sections filled
- Original hospital bills with bill numbers
- Hospital discharge summary
- All investigation reports
- Original pharmacy bills with prescriptions
Additional Documents
- Pre-hospitalization medical records
- Post-hospitalization follow-up records
- Doctor's consultation notes
- Previous treatment records (if applicable)
Supporting Documents
- Government issued photo ID proof
- Copy of insurance card/policy details
- Bank account details for reimbursement
- NEFT mandate form (for direct transfer)
Important Note
All documents must be original or self-attested copies. Ensure all bills and reports are legible and include the hospital's registration number.
Form Filling Instructions
Follow these section-wise guidelines to ensure accurate form completion.
Personal Information
- Use BLOCK LETTERS only
- Provide complete name as per policy
- Include valid contact information
- Mention policy number correctly
Hospital Details
- Enter complete hospital name and address
- Include hospital registration number
- Specify admission and discharge dates
- Mention type of admission (Emergency/Planned)
Medical Information
- Describe illness/injury in detail
- List all procedures performed
- Include ICD codes if available
- Mention pre-existing conditions
Payment Details
- Provide accurate bank information
- Double-check account number
- Include IFSC code
- Attach cancelled cheque
Pro Tips
- • Keep a photocopy of all submitted documents
- • Use blue ink for filling the form
- • Avoid overwriting and use of whitener
- • Get all corrections authenticated by the treating doctor
Common Mistakes to Avoid
Learn from common errors to ensure smooth claims processing.
Incomplete Information
Missing or partial details in crucial fields like policy number, contact information, or hospital details.
Solution:
Double-check all fields before submission and ensure no section is left blank.
Missing Documents
Not including all required medical reports, bills, or supporting documents.
Solution:
Use the document checklist to verify all necessary paperwork is attached.
Incorrect Bank Details
Wrong account number or IFSC code leading to payment delays.
Solution:
Verify bank details multiple times and attach a cancelled cheque.
Delayed Submission
Submitting claims after the stipulated time period.
Solution:
Submit claims within 30 days of discharge or as specified in your policy.
Illegible Handwriting
Unclear or difficult to read handwriting causing processing delays.
Solution:
Use BLOCK LETTERS and write clearly in blue ink.
Unsigned Forms
Missing signatures on declaration or authorization sections.
Solution:
Check all signature fields and ensure they are properly signed.