Documents required -

Service

List of documents

Importance

Accidental Death

• Dully filled and signed claims form and KYC Documents 

• Death Certificate 

• Disability Certificate, issued by a Medical Board duly constituted by the Central and/or the State Government. 

• Medical Records 

• Copy of settlement letter from other insurance company 

• Case histories, investigation reports 

• Original Discharge summary with first and subsequent consultation/treatment papers. 

• Original Final Hospital bill with detailed break-up and payment receipt (including pharmacy bills). 

• Laboratory investigation reports with supporting prescriptions. 

• MLC/First Information Report (FIR) (in accident cases). 

• Legal heir certificate 

• Marriage Certificate (if applicable) 

• Legal documents as Age proofs (wherever applicable) 

• Copy of Post-mortem report (wherever applicable)

• KYC documents 

• Cancelled cheque


Permanent Total Disability

Same as above 

 

Permanent Partial Disability

Same as above

 

 Hospitalization Claim

Refer section D in attached Claim form


  • Claim Form duly signed Original Pre-authorization request Copy of the Pre-authorization approval letter 


  • Copy of photo ID card of patient verified by hospital 


  • Hospital Discharge summary 


  • Operation Theatre notes 


  • Hospital main bill Hospital break-up bill


  • Paid Payment Receipt against the final bill

  • Investigation reports CT/MR/USG/HPE investigation reports Doctor's reference slip for investigation ECG 

  • Pharmacy bills 

  • MLC report & Police FIR 

  • Original death summary from hospital where applicable 

  • Any other, please specify

 

 Pre-Post Claim

 Refer section D in attached Claim form