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 Know more
    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. 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.