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FORM MRC (P) (For pensioner beneficiaries)CENTRAL GOVERNMENT HEALTH MEDICALREIMBURSEMENTCLAIMSCHEME FORM(To be filled by the Principal Card tJolderlClaimant in BLOCK LETIERS) 1. (a)Nameor the PrtncipalCGHS.

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Central Government Health Scheme (CGHS) beneficiaries and wellness centres can login to online service portal of CGHS, Ministry of Health and Family Welfare to check their CGHS beneficiary and card status.

Sub:- Revision of Medical Reimbursement Claim (MRC) Form for CGHS beneficiaries - reg. ... Separate forms have been developed for serving beneficiaries and pensioner beneficiaries with requirement of minimum information required for processing of the claims.

The CGHS beneficiaries are required to submit their medical reimbursement claims in the prescribed for with requisite documentary evidences to their Department / office or CGHS, as the case may be for further processing and settlement as per approved CGHS rates and guidelines.

The status of the claim can be viewed in the CGHS computer module using the claim number. SMS will also be sent to beneficiaries at each stage of MRC processing. Particulars of the claims which are more than one month old are now displayed on the CGHS website.

All the CGHS beneficiaries and their dependants are being provided with photo ID plastic cards individually with unique beneficiary ID number which need to be produced at each service point to avail the facilities.

GUIDANCE FOR FILLING CLAIM FORM - PART A (To be filled in by the insured) DATA ELEMENT. DESCRIPTION. FORMAT. SECTION A - DETAILS OF PRIMARY INSURED. SECTION B -DETAILS OF INSURANCE HISTORY. SECTION C -DETAILS OF INSURED PERSON HOSPITALIZED. SECTION D - DETAILS OF HOSPITALIZATION.

Central Government Health Scheme (CGHS) beneficiaries and wellness centres can login to online service portal of CGHS, Ministry of Health and Family Welfare to check their CGHS beneficiary and card status.

Enter the One Time Password(OTP) sent on registered mobile. A message will appear on the screen requesting to take a coloured printout and get the card laminated. Click 'OK'. Download or open the CGHS card in PDF format.

1) Medical Reimbursement Claim (MRC) forms duly filled in 2) Check list 3) Copy of Discharge summary 4) Original Hospital bills with break-up 5) Receipts in original 6) Copy of the valid CGHS Card 7) Copy of cancelled cheque showing bank details for ECS payment along with mandate form.

In case of treatment in emergency in non-empanelled hospital/expenditure incurred for treatment in empanelled hospital, Medical Reimbursement Claim (MRC) will have to be submitted by the beneficiary for reimbursement of expenses incurred.

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© Copyright 1997-2025
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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
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 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