Reimbursement Claims Procedure

  1. Reimbursement claims can be submitted to Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) through courier, post or in-person at any of our branches.
  2. Claim Intimation needs to be given 24-48 hours prior for Planned Hospitalization & within 24 hours in case of Emergency Hospitalization.
  3. Claim form can be collected from the nearest Divisional / Branch Office of the Insurance Company / Paramount office. Claim forms can be downloaded here. Issuance of claim form does not amount to admission of any liability, under the policy on the part of the insurers.
  4. Claim Documents should be sent to Paramount Health Services & Insurance TPA Pvt. Ltd. within 7 days from the Date of Discharge.
  5. Documents that you need to submit for a hospitalization reimbursement claim should be as per the checklist (Checklist)
  6. On receipt of claim at PHS,your Claim will be scrutinized as per terms and conditions of your health insurance policy. Please note that Non-medical expenses will not be payable.(Non payable list)
  7. On scrutiny of your Claim if there are any further requirements for ascertaining the Admissibility, we may request for additional information. This additional information is to be submitted within the stipulated time period.
  8. On receipt of complete Documents, an appropriate claim decision will be recommended to your respective Insurance Company.
  9. On approval of admissible claim, Insurance company will directly credit your/Employer bank account with the net payable amount through NEFT.
  10. Upon Rejection of claim, Repudiation Letter quoting the reason for rejection will be sent to you by the Insurance Company.

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