Paragraph match score 79.7%
Page A-230
For Reimbursement Claims (Non-Network Hospitals or Out-of-Pocket Payments)
Claim form, fully filled and signed (download from insurer's website) Discharge summary or discharge card from the hospital Original hospital bills, receipts, and payment acknowledgements (stamped and signed by the hospital)
Page A-266
What are the Documents Required for Filing a Health Insurance Claim?
Discharge summary Duly filled and signed claim form If required by the insurer Hospital discharge summary and treatment papers Doctor’s consultation notes and medical history reports