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  • Irda Claim Form(pre-auth) - Paramount Health Services

Get Irda Claim Form(pre-auth) - Paramount Health Services

REQUEST FOR CASHLESS HOSPITALISATION FOR MEDICAL INSURANCE POLICY DETAILS OF THE THIRD PARTY ADMINISTRATOR (To be filled in block letters) a)Name of TPA : PARAMOUNT HEALTH SERVICES & INSURANCE.

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How to fill out the IRDA Claim Form(Pre-Auth) - Paramount Health Services online

This guide provides a comprehensive overview of how to fill out the IRDA Claim Form(Pre-Auth) for Paramount Health Services online. We will walk you through each section and field of the form to ensure that you can complete it accurately and efficiently.

Follow the steps to complete your IRDA Claim Form(Pre-Auth) online:

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. Fill in the details of the third party administrator (TPA) at the top of the form, including the name, contact number, and email address.
  3. Provide your personal details in the 'To be filled by the insured/patient' section including name, age, gender, contact number, and date of birth.
  4. Input your MDID number, policy number, employee ID, and previous policy details if applicable.
  5. Indicate whether you have any other health insurance and if you have a family physician; include their details if applicable.
  6. Complete the section for your treating doctor, including their name, contact number, relevant clinical findings, and nature of illness or disease.
  7. Describe your current ailment's duration, past history, and include the date of first consultation.
  8. For the proposed line of treatment, check the appropriate options for medical management, surgical management, or investigation as relevant.
  9. If the treatment involves investigations, provide details regarding drug administration and any surgical procedures.
  10. In case of an accident, answer questions related to road traffic accident (RTA) and any tests conducted.
  11. If applicable, fill in maternity details including date of admission, expected number of days of stay, and room type.
  12. Outline the expected costs related to hospitalization, including room rent, ICU charges, professional fees, and any other relevant expenses.
  13. Review and complete the declaration section including signature from the treating doctor and hospital representative.
  14. Save changes, and choose options to download, print, or share the completed form as required.

Complete your IRDA Claim Form(Pre-Auth) online today for a seamless claims experience.

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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.

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.

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.

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.

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

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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