ESI Reimbursement form is used to claim medical expenses when insured person gets treatment in private hospitals. Here you can do ESI reimbursement form download and you can also know about how to fill ESI reimbursement form. But before submitting ESIC Medical Reimbursement Claim form insured person should know some important points on ESIC medical reimbursement claim process.
It is always advisable that insured person or employer of the insured person should intimate the ESI dispensary before joining the patient in the prviate hospital and in most of the cases if the private hospital not referred by insurance officer of the particular ESIC dispensary then the claim will get rejected.
In general, we couldn’t get facilities provided by multi specialty hospitals in ESI hospitals. In such cases, it is better to give prior intimation to ESI medical officer and take their reference.
ESI Reimbursement Form Download | ESIC Medical Reimbursement Claim form
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Important Documents To Be Submitted Along With ESI Reimbursement Form
- All the medical bills like operation charges, pharmacy charges, room service charges and ICU charges etc.
- Discharge card from the private hospital where insured person got treatment.
- Emergency Certificate.
- ESIC Pehchan Card of the insured person.
- A letter from the employer side regarding accident cause and request to release claim amount.
- Bank passbook xerox copy of insured person.
After doing ESI Reimbursement Form download we need to know how to fill this ESIC reimbursement form. This form consists mainly Two parts one part has to be filled by IMP ( Insurance Medical Practitioner ) or IMO ( Insurance Medical Officer ) and the second part has to be filled by hospital authorities where the insured person was treated. Do share your doubts and opinions on ESI Reimbursement form download.