How to submit your claim with TPA for processing and reimbursement.
Step 1. Please collect all documents
Step 2. Please fill up the claim form provided to you fully.
Step 3. Within 7 days after discharge, please lodge your claim with TPA local branch for processing.
Please note, when lodging your claim with TPA, please make sure that the documents are sent as per the check list mentioned below:
Document Check list for Health & Critical illness:
Hospitalization / Day Care Treatment
- First prescription of doctor with commencement date of the symptom of disease.
- Treatment papers along with doctors prescriptions
- Investigation reports (X-ray/Scan/ECG, Laboratory etc)
- Original medical bills and receipt of Hospital, doctors, medical shops, Diagnostic centre etc supported by Doctor's advice.
- Hospital discharge card.
- Copy of FIR (if any in case of accident).
Critical Illness Claims
- Claim form duly completed.
- Original Specialist Doctor's certificate confirming the diagnosis and when the symptoms first occurred.
- Relevant Investigation reports (Radiology, Pathology etc) confirming the diagnosis.
- Hospital admission & discharge card / certificate
Domiciliary Hospitalisation
- First prescription of doctor with commencement date of the symptom of disease.
- Treatment papers along with doctors prescriptions
- Investigation reports (X-ray/Scan/ECG, Laboratory etc)
- Original medical bills and receipt of doctors, medical shops, Diagnostic centre etc supported by Doctor's advice.
- Copy of FIR (if any in case of accident).
- Certificate from attending Doctor / Physician stating the condition of the patient is not permissible for him / her to be removed to Hospital/Nursing Home or documentary proof of lack of accommodation in hospital/nursing home
***Please note above list is only indicative. We may call for additional documents/information if required
