Dear all, Our name has changed from Family Health Plan TPA Ltd. to Family Health Plan Insurance TPA Ltd.

Integration of best technology with process

An ISO/IEC 27001:2013 and ISO 9001:2008 Certified TPA

forms

Description Pdf File Zip File
Preauthorisation form /cashless request form

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Discharge summary

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Standard mediclaim exclusions

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Enrollment form

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Checklist for submission of Group claim

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Checklist for submission of Individual claim

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Claim forms
Apollo munich health insurance(easyhealthclaim form)

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Bharati axa general insurance

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Hdfc ergo general insurance

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Iffco-tokio

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Kotak Mahindra General Insurance

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Liberty Videocon

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L & T General Insurance Co. Ltd.

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National insurance company

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New india assurance company

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Oriental insurance company

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Reliance general insurance

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Royal Sundaram Alliance Insurance Co. Ltd.

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United India insurance Health policy claim form

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United India insurance Health policy Top up claim form

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United India insurance Health policy Super Top up claim form

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Universal sompo general insurance

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TATA AIG General Insurance Co. Ltd.

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Religare Health Insurance Company Ltd.

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Bajaj Allianz General Insurance Company Limited(Reimbursement ClaimForm).

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Bajaj Allianz General Insurance Company Limited(Cashless ClaimForm).

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SBI General Insurance Company Limited(Reimbursement Claim form )

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IRDA Reimbursement Claim Form

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IRDA Cashless Claim Form

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Aditya Birla Insurance Claim Reimbursement Form

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DHFL General Insurance Limited Claim Reimbursement Form

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DHFL General Insurance Limited Claim Cashless Form

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Magma – HDI General Insurance Company Ltd Claim Reimbursement Form

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Magma – HDI General Insurance Company Ltd Claim Cashless Form

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