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Extensive Guide to Litigation 1. Please make sure the claim form is full, signed and submitted initially. 2. Please provide at least two mobile phone numbers that can be contacted and determine the E-mail for further communications related to your claim. 3. List of claims documents to E. Please make sure that all documents are submitted initially to process part of the claim. 4. The claim will be delayed without the original documents. 5. Claim payment is made only through online bank transfer. Please submit your bank account information and cancel your check. Bank account information must be mentioned in the “Account Form” section. In addition, if the amount of the claim exceeds Rs 1 lakh, additional documents are required: 6. 604-607, 6th Floor, Tower C, Tower C, United Network Park, Area 39, Gurugram-122001 (Ryana), follow your claim status online now: please visit the link below and enter your customer ID and your Policy number www.careissurant. com/claim. PHP Center/Search Statement/Enter Customer ID and SMS Policy Number: SMS Reference Number Claim Number 77158-77158 Example: Check Claim Number 1122344 SMS 11223344 to 77158-77158-77158-77158 A brief description of the key documents required for claim form 1. Indoor case documents – 2. Summary of hospital release – hospitalization summary, including – date of entry, date of discharge, diagnosis, treatment line, treatment line given to patients during hospitalization, and other recommendations regarding release. 3. 4. Consultation Documents – Prescription for a medical physician consulting with a patient. 5. NEFT (Transfer of Net Funds) – We need an original insurance check on the insured, and the relevant details will be part of the claim form graffitier. Payment terms and restrictions on using RTGS/NEFT 1. 2 3. Submit documents or bank details or any other information is accepted by the Company in any way, form or form, implied, expressed or recommended. 4. i/We promise to repay any excess credit that has attracted the attention of policy owners through any other source. 5. The insured agrees that, according to the RTGS/NEFT facility, there may be an unpaid amount of insured persons, payment due to the RTGS/NEFT facility, or for any other reason, failure/failure of limited health insurance components/ Failed/unable to control any factors of limited health insurance. VER: April/21 Interior Care Insurance Co., Ltd. (formerly limited religious health insurance company) Registered Office: 5th Floor, Chora House, 19 Nehru Plaza, New Delhi – 110019 Corresp. Office: Unit No. 604-607, 6th Floor, Tower, United Network Park, District 39 United Network Park, Gurograms -122001 (Ryana) Website: www.careinsauce.com Email: [Protected Email] Call Us : 1800- 102 -44488 Page 1 CIN: U66000DL2007PLC161503 UIN: Rhihlip21017V05201 Registered IRDAI No. 148
Care Health Insurance Company Details
Assertion Form – “Care” Part 1. Fill with the insured. Intimation claim number: _____________________________________ 2. This form should not be taken as a responsibility. 3. Fill in the letters. A-Main Insurer A) Policy No.: b) SL Tax. : City: Country: Lubrication Code: Phone Number: E -Mail: Section B – Insurance Record a) Currently any other medicine/health insurance: whether (dd/mm/yyy) b) b) first insurance Date://Insurance Amount (Rs. Date://(DD/mm/yyyyy): MIA. Ms. A) Name: b) Sex: (If someone else (please specify) Name the family_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Different above) City: Country: Rs: Rs: Rs: h) Phone number: i) E -mail: Limited health insurance (formerly limited health insurance company) Registered office: 5th Floor, Chawla House, Nahu Place, New Delhi – 110019 Corresp. Office: Unit No. 604-607, 6th Floor, Tower, United Network Park, District 39 United Network Park, Gurograms -122001 (Ryana) Website: www.careinsauce.com Email: [Protected Email] Call Us : 1800- 102 -44488 Page 2 CIN: U66000DL2007PLC161503 UIN: RHIHLIP21017V05201 IRDII Registration No. 148
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Chapter 4 – Hospitalization a) The name of the hospital is recognized: b) Room category occupied: Single population day care double beds share 3 beds or more beds c) Hospitalization C) Hospitalization: History of injury disease d) Injury Date/First Date is detected/Date/Date Delivery://(DD/MM/YYYY)Entity://(DD/MM/YYY)F)Input Time::(HH:MM)G)G )G)g) Liberation Date: // (DD // MM/YYYY) H) Liberation Time:: Yes III) MLC report and FIR Police Attached: Yes No) Medical System: _________________________________________ Article E – Prosecution A) Information details of the treatment expenses (i) pre -hospital expenses: Rs. ( vi) Other (code): Rs. (iii) Post-hospital cost: Rs. (vii) – Pre-hospital period: days (iv) Health test cost: Rs. (viii) A postal period: (v) Ordinary ambulance: Rs. b) Family hospitalization claim: whether (then, details are provided in the appendix) c) Details of a time/cash benefit claim: (i) Daily cash hospital: Rs. (v) One time limit before/after hospitalization: Rs. (ii) Cash on surgery: Rs. (vi) Others: Rs. (iii) Key disease benefits: Rs. Total: Rs)) Theater Review: (iii) Hospital Major Act: (ix) AKG: (iv) Hospital Disassembly Act: (x) Requesting Doctors for Interrogation: Investigation Report (including CT/MRI/USG/HPE): (VI) Summary of Hospital Release: (XII) Other registrants: (XIII) Other ____________________________________________________________________________________________________________________________________________________________1111 Of United, 39 sector, gorurem -122001 (Ryana) Website: www.careinsauce.com E -mail: [Protected Email] Call美国：1800 -102 -4488 PAGE 3 CIN: U6000DL2007PLC1503 UIN: RHIHLIP21017V0521 IRDAI -148 -148
Section 6 Information on closed bill number. Date is from Amount (INR) 1 (INR) 1 (DD/mm/yyyyy) Pre-hospital baldness: dd/mm/yyyyy) 4 (dd/mm/yyyyy) 5 (dd/mm/mm/yyyyy) 6 (dd/ mm /yyyy) 7 (DD/mm/yyyy) 8 (dd/mm/yyyy) 9 (dd/mm/yyyy 10 (dd/mm/yyyy), please attach a separate form if you have any other details. Chapter 7 – Bank account of the main insured person a) pan: b) account number: c) bank name and branch: d) check/dd details payment: e) code IFSC: h section information transmitted in this way It’s right, right to the best I know. If I say false or wrong statements, please be related to the question
