Anmol Medicare Insurance Ltd. is closely affiliated to Anmol Finsec Ltd., a broking firm founded in December 1997, to provide a variety of financial services. The organization is licensed by IRDA (Insurance Regulatory Development Authority) and serves all strata of the society.
This guide is to assist you and make the process of claiming medical insurance extremely easy and error-free for you. It will help you understand the intricacies of medical claim around filling the claim form and completing documentation.
KYC stands for Know Your Customer and KYC documents are required to verify and establish the identity of the policyholder and the patient. KYC documents include:
- Patient’s Aadhar card copy
- Copies of the policyholder’s government ID proof or PAN card
- Cancelled cheque that belongs to the policyholder
- An insurance or e-card copy.
These documents help Anmol Medicare TPA establish your identity.
- Patient’s discharge Summary
- Breakup of Bills
- Summary of Bills
- Payment Receipt
- Operation Theatre Notes, etc.
- Doctor’s Prescriptions
- Pharmacy Bills
- Bill breakup against additional packages
You must submit the originals of all the documents above. You can only send the additional package breakup printed on a plain paper with the hospital’s seal. For claiming pre-hospitalization and post-hospitalization charges, enclose your doctor’s original prescription with the bills.
Investigation reports during and before the treatment must be sent to Anmol Medicare TPA in original. While bill breakup can be accepted on a paper with hospital’s seal, the reports must definitely be printed on hospital’s letterhead.
In case of missing lab reports, enclose a cover note with the claim form. The cover note must have the reports that are missing listed down. You can then take your time to source the reports and send them to Anmol TPA when the query is raised. For pre and post hospitalization claims, enclose a doctor's prescription which must be on the official letterhead or a lab requisition slip.
Accident Details, if Applicable
- Medico Legal Certificate
- FIR (If you have filed a report)
In accident cases, the patient is required to write a detailed explanation of the incident and sign it. The purpose is to prove that the injury is due to an accident and not a self-harm attempt.