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  • Claim Form - Hdfc Ergo General Insurance

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HDFC ERGO General Insurance Company Limited INDIVIDUAL PERSONAL ACCIDENT - CLAIM FORM Claimant s Statement Form A INSURED INFORMATION Insured s Name: Insured s Address: Date of Birth: D D M M Y Y.

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For HDFC ERGO Medical Policies, No Claim Bonus cannot be claimed. At Max, HDFC ERGO may facilitate free Preventive Health Checkup with recognised Diagnostic Centres with Rs. 5,000/- coupon once in 3 years. No other benefit will be provided if no claim is raised except Sec.

You just need to enter your registered e-mail ID, contact number or Policy number hereto register your claim online. In a few simple steps and by just answering some questions you can intimate your claim to your health insurance provider.

Indicate whether previously covered by another Mediclaim / Health Insurance Enter the policy number Enter the date of hospitalization Enter the total sum insured as per the policy Enter the diagnosis details Enter the social insurance number or the certificate number of social health insurance scheme Enter the TPA ID ...

Provide NEFT details in the claim form along with cancelled cheque. Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to Rs 1 lakh and above. For KYC Form Click Here. KYC Documents: Aadhaar Card ,Passport ,Driving Licence Voter ID , etc.

Name. Fill in the name of the insured person who was hospitalised as mentioned in his KYC documents and bank documents. Gender. Select the gender of the insured. Age year. ... Date of birth. ... Relationship to primary insured. ... Occupation. ... Address.

Procedure to File a Claim: This can be done by calling the TPA on 1800-2-700-700 or 1800-200-1999. Post treatment, all hospital bills need to be settled by the policyholder, with all original bills and reports to be kept by him/her. Submit the duly filled claims form to the company for processing and reimbursement.

Online registration of Claim: https://www.hdfcergo.com/customer-care/claim-intimation.html. Call the Toll free: 24x7 customer helpline number 1800 2700 700 (Accessible from India only) and get your claim number. IPO Insurance Portfolio Organiser: HDFC ERGO Mobile App.

Step 1: Collect Your Itemized Receipts. To file a claim you need to first obtain an itemized bill from your doctor or medical provider. ... Step 2: Complete A Claim Form. ... Step 3: Make At Least 1 Copy. ... Step 4: Review, Call And Send. ... Step 5: Wait.

Provide NEFT details in the claim form along with cancelled cheque. Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to Rs 1 lakh and above. For KYC Form Click Here. KYC Documents: Aadhaar Card ,Passport ,Driving Licence Voter ID , etc.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232