We would like you to be a part of our Provider Network. To empanel your hospital, please fill this provider enrollment request form completely and accurately.
- All fields marked with * are mandatory
- The submission of this form in no way guarantees the empanelment on PHS network
- As per IRDA Regulations, cashless facility will be provided only to those hospitals that have valid ROHINI registration ID.
After registration, kindly share your ROHINI ID with Paramount.