Escolar Documentos
Profissional Documentos
Cultura Documentos
_______________________________________
Employee
No:
Submit all the documents along with completely filled in check-list ONLY to United
Healthcare Parekh India Pvt. Ltd
Original Main Hospital bill with Bill Number, paid/received stamp of hospital &
signature with complete break up.
Original Paid Receipt with receipt number with seal & signature
Original Paid Receipt with receipt number for consultation/surgeon charges if
charged separately.
Hospital registration number/Number of beds, on hospital letterhead with
signature.
Doctors registration number on doctor letterhead with signature.
All Road traffic accident would require attested copy of FIR/Medical Legal
Certificate is Must ALONGWITH ALCHOLIC HISTORY
In case of self fall, need a letter mentioning the cause of fall on the doctors letter
head with signature.
In cases like cataract, valve surgeries, CABG, any abdominal surgeries, knee
replacements if any surgical or prosthetic device used need to be submitted with
proper sticker & label.
If there are any documents further required, our document recovery team (DR Team) will
contact you via phone call/e-mail at the above provided contact details.
If the claim is pending for documents like 'Discharge Summary, Hospital Registration
Number, 1st Consultation Letter, Signed Claim Form, Delay Letter' kindly write to our
customerservice@uhcindia.com or call at 1800 22 4646 requesting for the format.
Please find below Ailment Specific Requirement:1. CABG-Angiography/Angioplasty (if previous claim available, mention Claim No/Details)
2. Valve Replacement
Echo Report
Sticker/Invoice
3. Accident
MLC/FIR Copy
Details of Accident
Alcohol History
4. Fall
Details of fall
5. Poisoning
Details
MLC/FIR
USG Report
7. Cataract
A-Scan
Lens Sticker/Invoice
8. TKR/THR
X-ray
MRI
Implant Details
9. Fracture
X-ray
Details of Fracture
USG
Histopathology
11. Endometriosis
Infertility History
12. LSCS
Indication
Baby Details
13. Ectopic Pregnancy To check the categorization Insurer wise, whether considered as
Medical emergency or Maternity, and paid from the balance accordingly.
14. Antenatal/Postnatal
Check Limit
Check Limit
16. Ayurvedic
Treatment details
Hospitalization Justification
Govt.Hospital
17. Fever
Treatment Details
19. Gastroenteritis
Treatment Details
20. Anemia
Treatment Details
Supporting Document / Reports.
Alcohol History
Report
NOTE:
The above documents are the most probable requirement for processing the Claim; we
may get back to you in case of need for any further documents.