Follow the steps to accurately complete your claim form.

1. Click 'Get Form' button to obtain the form and open it in your editor.
2. In Section A, provide details of the primary insured. Fill in the policy number, certificate number, and provider's ID number. Ensure you include the full name, address, contact details, and email in block letters.
3. Move to Section B. Answer the questions regarding your insurance history, including previous hospitalizations and any prior health insurance coverage. Remember to tick 'Yes' or 'No' where applicable.
4. Proceed to Section C, where you will enter details about the insured person who was hospitalized. Fill in their full name, gender, age, date of birth, and relationship to the primary insured. Provide the address, phone number, and email if different from the primary insured.
5. In Section D, enter the details of hospitalization. Include the hospital's name, the category of the room occupied, the reason for hospitalization, and the relevant dates of admission and discharge. Ensure you include the cause of injury if applicable.
6. Section E requires you to detail the treatment expenses claimed. Itemize your claims for pre-hospitalization, hospitalization, and post-hospitalization expenses. Include the total amounts and mark if you are claiming domiciliary hospitalization.
7. In Section F, provide the details of all bills enclosed. List each bill number and amount. Be thorough to ensure all necessary documentation is included.
8. Enter your bank account details in Section G, including PAN, account number, bank name, and IFSC code.
9. Finally, read and complete the declaration in Section H. Date it and sign your name, confirming the information provided is true and accurate.
10. Once you have completed the form, save the changes, and choose to download, print, or share it as necessary.

Start filling out your Paramount Claim Form online today and ensure your claim is submitted accurately.