Claims List of Requirements Cashless Claim

Cashless Claim

(Hospi Cash, IA Health and Health First Policies only)
  • Hospital List
  • Pre Authorisation Form (Download this form in other Language)
  • Photo Identity of Life Assured with age and address proof
  • Health Card
  • Discharge summary of present and past hospitalizations
  • Hospital Bills for the confinement
  • All related clinical Reports pertaining to the claim event:
    1. Laboratory test reports
    2. X-Ray / CT Scan / MRI Reports & Plates
    3. Ultrasonography Report
    4. Histopathology Report
    5. Clinical / Hospital Reports
    6. Angiography Reports & Plates
    7. Others (please specify)
    8. Certificate of Diagnosis
Please Note:
  • Please submit copies of the following documents certified / attested by the issuing authority. ( Original Seen Verified (OSV) by Branch Personnel will also be accepted) -
    1. All Police papers – Panchnama, Inquest, First Information Report and Final Investigation Report
    2. Medical Records (Admission Notes, Discharge/Death Summary, Indoor Case Papers, Test Reports etc)
  • Copies of the other documents to be submitted by self attestation of the claimant
  • In case the claim warrants any additional requirement, TALIC reserves the right to call for the same.
  • Notification of claim & submission of the claim requirements does not mean admission of the claim liability by the Company.
  • No agent is authorized to admit any liabilities on behalf of the Company, nor to alter this list of documents or any claims requirements called for by the Company.
Claims Service Guarantee