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  • Health Claim Form - Paramount Health Services

Get Health Claim Form - Paramount Health Services

Insured / Corporate / Agent / Broker / Insurer / Hopsital Claim Submitted by: Mobile No. Remarks Date of Claim Submission: Claim Submitted at: DD/MM/YYYY HH:MM PHS - (Location) / Help Desk PHS Executive Name: Signature: Important Points to Remember:1. Please mark either or against respective check box 2. Date of File Received will be considered as next working day for Claim Files picked up at Help Desk 3. Claim Need to be Submitted within 7 Working Days from Date of Discharge from Hos.

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How to fill out the Health Claim Form - Paramount Health Services online

Filling out the Health Claim Form for Paramount Health Services can seem daunting, but with clear guidance, the process can be straightforward. This guide will walk you through each section of the form step-by-step to ensure a smooth submission.

Follow the steps to effectively complete your health claim form.

  1. Press the ‘Get Form’ button to retrieve the Health Claim Form - Paramount Health Services. Open the form in your preferred editor.
  2. Begin filling out Section A: Details of Primary Insured. Input the policy number, certificate number, and your full name along with your address, phone number, and email ID.
  3. In Section B: Details of Insurance History, indicate if you are currently covered by any other health insurance and provide the date of commencement of the first insurance without breaks.
  4. Continue to Section C: Details of Insured Person Hospitalized. Fill in the name, gender, and date of birth of the insured person, and their relationship to the primary insured.
  5. Move to Section D: Details of Hospitalization. Enter the hospital's name, room category occupied, admission and discharge dates, and any relevant details regarding the reason for hospitalization.
  6. Proceed to Section E: Details of Claim. List all treatment expenses claimed and ensure to include necessary supporting documents as outlined in the checklist.
  7. In Section F: Details of Bills Enclosed, specify the details of each submitted bill along with the amounts.
  8. Fill in Section G: Details of Primary Insured's Bank Account. Include your bank details for any reimbursement.
  9. Finally, review Section H: Declaration by the Insured. Ensure that the information provided is accurate, sign the form, and include the date and place.
  10. Once completed, save your changes to the form, then download, print, or share it as needed for submission.

Start filling out your Health Claim Form online today to ensure timely processing of your claim!

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Paramount TPA also known as Paramount Health Services & Insurance TPA Private Ltd is one of the IRDAI-approved TPA networks in India. It got its IRDAI approval in the year 2002 and today it's one of the leading TPA networks in India.

Claim intimation is the first step of any notification of the claim to the insurer. This is often called as first notification of loss (FNOL). Notification of the claim does not necessarily mean the insurance company is paying for the loss.

Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims including: Total amounts charged. Your discounts just for being a member. What your health plan paid on your claims.

Helpline No. & Email ID Helpline No. : +91 22 666 20 808. Toll free No. : 1800 22 66 55. Senior Citizen Helpline No. : +91 22 666 29 813. Cashless Authorization Email Id : al.request@paramounttpa.com. Email Us : contact.phs@paramounttpa.com. Claim Intimation Email Id : claim.intimation@paramounttpa.com.

Contact Us Address. Call Now. +91 22 40004219/216. Fax. +91 22 4000 4280. Whatsapp no. +91 7718806681. Email. travelhealth@paramount.healthcare.

All the listed documents should be original: Claim application Form - Duly filled and signed. Doctors' prescription. Treatment papers. investigation/diagnostic reports/X-Ray. Original medical bills and scripts. Invoice for medicines. Hospital discharge card. Copy of FIR in case of an accidental emergency.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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