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How to fill out the Wbhs online
Filling out the West Bengal Health Scheme (Wbhs) form online can facilitate a smooth claims process for medical treatments. This guide will help you understand each section of the form and provide step-by-step instructions to ensure that all required information is accurately submitted.
Follow the steps to effectively complete the Wbhs form.
- To start, press the ‘Get Form’ button to obtain the Wbhs form and open it for editing.
- Begin filling in the employee details: Enter the name and identification number of the employee, followed by the name of the office and its address.
- Next, provide the patient’s name, their relationship with the government employee, and their identification number.
- In the expenditure details section, state the diagnosed disease according to the provided list.
- Fill in information regarding the hospital: Specify the name and code number of the empanelled or recognized hospital.
- Indicate the duration of indoor or day care treatment as well as the total number of original vouchers and money receipts included.
- Detail the amounts claimed for package treatment: List procedure names, codes, and the amounts associated with each. Provide a total amount for package treatment.
- For non-package treatment, include descriptions of the items, item codes, and amounts claimed, along with the total for this section.
- Record any related out-patient department (OPD) treatments indicating the amounts claimed and the total amount for OPD treatment.
- Finally, provide a grand total summing the amounts from package treatment, non-package treatment, and OPD treatments. Fill in this total in both numbers and words.
- Ensure that both the treating specialist’s and the authorized hospital officer’s signatures are included, along with their official seals where applicable.
- Once all fields are filled, save any changes, and you can download, print, or share the form as necessary.
Complete your Wbhs form online today to streamline your health claim processing.
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