CLAIM PREPARATION
Documents Required
A comprehensive checklist of mandatory documents needed for processing your medical reimbursement claims efficiently and without delay.
Maharashtra State Government Medical Reimbursement
A comprehensive checklist of mandatory and supporting documents required for processing claims under the state government medical reimbursement process.
A. Application Documents
- Medical Reimbursement Application Form
- Covering Letter from the Employee
- Forwarding Letter from the Head of Office
- Office Recommendation Letter
- Sanction Proposal File (if applicable)
- Employee Identity Card Copy
- Aadhaar Card Copy
- PAN Card Copy (if required)
- Service Book Extract (if required)
- Cancelled Cheque / Bank Passbook Copy
B. Hospital Documents
- Hospital Admission Card
- Admission Slip
- Discharge Summary
- Indoor Case Papers (IPD File)
- Bed Head Ticket (if available)
- Operation Notes (if surgery was performed)
- ICU Treatment Records (if applicable)
- Nursing Chart (if available)
- Consent Form for Surgery
- Hospital Registration / NABH Certificate (if required)
C. Medical Documents
- Doctor's Prescription
- Essentiality Certificate
- Medical Certificate
- Fitness Certificate
- Referral Letter
- Emergency Certificate (for emergency treatment)
- Non-Availability Certificate (if applicable)
- Follow-up Advice
- Implant Sticker / Details (if implant used)
- Blood Transfusion Certificate (if applicable)
D. Bills & Financials
- Original Hospital Bill
- Original Hospital Payment Receipt
- Pharmacy Bills
- Investigation Bills (Pathology/Radiology)
- Diagnostic Reports (X-ray, CT Scan, MRI, ECG, etc.)
E. Supporting Documents
- Ambulance Bill
- Blood Bank Bill
- Implant Invoice
- Package Break-up Bill
- Previous Sanction Order (for continuing treatment)
- CGHS/MJPJAY/Insurance Non-Claim Certificate (if required)
- Declaration / Undertaking by Employee
- Family Declaration (for dependent claims)
- Birth Certificate (for child, if applicable)
- Marriage Certificate (for spouse, if applicable)
F. Pensioner Documents
- Pension Payment Order (PPO)
- Pension Identity Card
- Life Certificate (if required)
Important Note
Always maintain an additional photocopy set of all the documents submitted for your personal records. Ensure all original bills are stamped and signed by the respective authorities.
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