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Raksha Health Insurance TPA Pvt.Ltd. Access to electronic resources at Raksha Health Insurance TPA Pvt.Ltd. is restricted to employees, insurance companies, customers, hospitals, or individuals authorized by Raksha Health Insurance TPA Pvt.Ltd.. Use of this system is subject to all policies and procedures set forth by Raksha Health Insurance ...
5. 6. D. D. M. M. Y Y. Y Y. Claim form duly signed Copy of the claim intimation, if any Hospital Main Bill Hospital Break-up Bill Hospital Bill Payment Receipt Hospital Discharge Summary Pharmacy Bill Operation Theater Notes ECG Doctor’s request for investigation Investigation Reports (Including CT / MRI / USG / HPE) Doctor’s Prescriptions ...
1 Copy of Intimation sent to Raksha TPA 2 Duly filled and signed claim form 3 Original Discharge Summary (Including all information like Time of admission and discharge, diagnosis, presenting complaint and findings and treatment given/procedure done during hospitalization, advice on discharge). Time of admission & time of Discharge is
Raksha Health Insurance TPA Pvt. Ltd. ISO 9001:2008 & 27001:2013 Certified Company . 0129-3501420. Faridabad ,Haryana. ... Claim Form(Hospital) Cashless Request Form;
member.rakshatpa.com. Did you know that we have. amped up security for your data? Contact Verification safely authenticates a user and. prevents unauthorised access. SI Protect allows verification of claims before. submission and safeguards the sum insured. We constantly endeavour to manage your health benefits portfolio.
Raksha Health Insurance TPA Pvt. Ltd. ISO 9001:2008 & 27001:2013 Certified Company . 0129-3501420. Faridabad ,Haryana. ... Claim Form(Hospital) Cashless Request Form;
6. Original Claim Form B duly Signed 7. PPN Declaration letter form duly signed 8. Pre-Auth Form Part –C & D in Original. The Hospital is requested to submit the claim within 7 days from the date of discharge or else it will be deemed as this Authorization Letter has not been used & company holds no responsibility for payments
