Αποτελέσματα Αναζήτησης
Details of Treatment Expences. Enter the amount claimed as treatment expences. In rupees (Do not enter paise values) b) Claim for Domiciliary Hospitalization. indicate whether claim is for domiciliary hospitalization. Tick Yes or No. c) Details of Lump sum/ Cash benifit claimed. Enter the amount claimed as lump sum / cash benefit.
The FHPL claim form can be downloaded from the Pazcare dashboard or https://www.fhpl.net/ under the downloads section. Fill in the group health insurance policy number followed by the FHPL TPA Id number.
CLAIM FORM - PART B TO BE FILLED IN BY THE HOSPITAL. The issuance of this Form is not to be taken as an admission of liability Please include the original pre-authorisation request form in lieu of PART A.
The app is accessible on both iOS and Android, providing a comprehensive range of services including access to policy documents, e-cards, network hospitals, claims forms and much more. FHPL Claim Process Video
CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT (PART-A) TO BE FILLED IN BY THE INSURED The issue of this Form is not to be taken as an admission of liability (To be filled in BLOCK letters) SECTION A. DETAILS OF PRIMARY INSURED.
FHPL Claim Form - Free download as PDF File (.pdf), Text File (.txt) or read online for free.
United India Insurance Co Ltd. Registered & Head Office: 24, Whites Road Chennai-600014 India. HOSPITALISATION AND DOMICILIARY HOSPITALISATION BENEFIT POLICY. CLAIM FORM.
