United India Insurance Co. Ltd.

• Cashless Request Form
• Reimbursement Claim Form
• Super Top-up Claim Form
• Top-up Claim Form
• GIPSA PPN Network Declaration Form
• 
  

1800 345 3323

www.uiic.co.in

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The Oriental Insurance Co. Ltd.

• • Cashless Request Form
• • Reimbursement Claim Form 
• • 
    
• • Request for Cashless Hospitalisation
• • GIPSA PPN Network Declaration Form
• 
  

1800118485

www.orientalinsurance.org.in

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New India Assurance Co. Ltd

• Cashless Request Form
• Reimbursement Claim Form
• GIPSA PPN Network Declaration Form
• Declaration Form for Network Hospital (Other than PPN)
• 
  

1800 209 1415

www.newindia.co.in

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National Insurance Co.  Ltd.

• • Cashless Request Form
• • Reimbursement Claim Form
• • Request for Cashless Hospitalization
• • GIPSA PPN Network Declaration Form
• 
  

18003450330

www.nationalinsurance.nic.co.in

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Aditya Birla Health Insurance Co. Ltd

• Cashless Request Form
• Reimbursement Claim Form A
• Reimbursement Claim Form B
• CKYC form
• 
  

1800 270 7000

www.adityabirlacapital.com

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Bajaj Allianz Life  Insurance Co.

• • Cashless Request Form
• • Reimbursement Claim Form
• • NEFT Mandate Form
• • CKYC form
• 
  

1800 209 7272

www.bajajallianz.com

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Cholamandalam General Insurance Co. Ltd

• Cashless Request Form
• Reimbursement Claim Form
• • CKYC form

1800 208 5544

www.cholainsurance.com

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HDFC Ergo General Insurance Co.

• Cashless Request Form
• • • Reimbursement Claim Form
• • CKYC form

1800-2-700-700

www.hdfcerco.com

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ICICI Lombard

• Cashless Request Form
• Reimbursement Claim Form

• CKYC form

1800 2666

www.icicilombard.com

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IFFCO Tokio General Insurance Co. Ltd.

• • Cashless Request Form
• • Reimbursement Claim Form
  • • Medishield Claim Form
    • • CKYC form

1800 103 5499

www.iffcotokio.co.in

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Liberty General Insurance Co. Ltd.

• Cashless Request Form
• Reimbursement Claim Form
• Reimbursement Claim Form
• • CKYC form

1800 266 5844

www.libertyinsurance.in

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Niva Bupa Health Insurance Co. Ltd.

• • Cashless Request Form
• • Pre-authorization Form (Cashless)
  • • Reimbursement Claim Form
    • • CKYC form

1800 309 3333

www.nivabupa.co.in

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Reliance General Insurance Co. Ltd

• Cashless Request Form 
• Reimbursement Claim Form 

• • CKYC form

1800 3009

www.reliancegeneral.co.in

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Care Health Insurance Co. Ltd.

• • Cashless Request Form 
• • Reimbursement Claim Form
• • CKYC form

1800-102-4499

www.careinsurance.com

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Royal Sundaram General Insurance 

• Cashless Request Form
• Reimbursement Claim Form
• Reimbursement Claim Form Guidelines
• NEFT Mandate Form

18602580000

www.royalsundaram.in

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SBI General Insurance Co. Ltd.

• • Cashless Request Form
• • Reimbursement Claim Form A,B
• • 
    
• • Retail Health Claim Form

• • CKYC form

1800 22 1111

www.sbigeneral.in

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Star Health and Allied Insurance Co.

• Cashless Request Form
• Reimbursement Claim Form
• 
  
• CKYC form
• 
  

1800 425 2255

www.starhealth.in

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Tata AIG General Insurance Co. Ltd.

• • Cashless Request Form
  • • Reimbursement Claim Form
• • CKYC - For Employee NEFT more than 1 Lac
  • • CKYC - Legal Entity-For Corporate NEFT more than 1 Lac

• • CKYC form

1800 266 7780

www.tataaig.com

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Universal Sompo General Insurance

• Reimbursement Claim Form
• Cashless Request Form
• NEFT Mandate Form

• • CKYC form

1800 200 4030

www.universalsompo.com

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Navi General Insurance Co. Ltd.

• • Cashless Request Form
• • Reimbursement Claim Form
• • CKYC form

1800 123 0004

www.navi.com

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ManipalCigna Health Insurance Co.

• 
  
•  Cashless Request Form
• Reimbursement Claim Form A,B
• Reimbursement Claim Form C
• • CKYC form
• 
  

1800-102-4462

www.manipalcigna.com

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Zuno General Insurance Co. Ltd.

• • 
    
• • Request for Cashless Form
• • Reimbursement Claim Form A
• • Reimbursement Claim Form B
• • • CKYC form
• 
  

1800-12000

www.hizuno.com

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Magma HDI General Insurance Co.

• Cashless Request Form
  

• Reimbursement Claim Form A
• Reimbursement Claim Form Part B

• • CKYC form

18002663202

www.magmahdi.com

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Kotak Mahindra General Insurance Co.

• • Cashless Request Form
  •  Reimbursement Claim Form A

• • Reimbursement Claim Form B

• • CKYC form

1800 266 4545

www.kotakgeneral.com

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Go Digit General Insurance Ltd.

• Cashless Request Form
• Reimbursement Summary Format

• • CKYC form

1800-258-5956

www.godigit.com

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Future Generali India Insurance Co.

• • Cashless Request Form
• • Reimbursement Claim Form

• • CKYC form

1800-102-2355

www.futuregenerali.in

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Raheja QBE General Insurance Co. Ltd.

• 
  
• Cashless Request Form 
• • Reimbursement Claim Form

• • CKYC form

1800 102 7723

www.rahejaqbe.com

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Agriculture Insurance Co. Ltd.

• • • Cashless Request Form
• • Reimbursement Claim Form
• • CKYC form

1800-116-515.

www.rahejaqbe.com

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ECGC Limited

• Cashless Request Form
• Reimbursement Claim Form

• • CKYC form

1800 22 4500

www.maxlifeinsurance.com

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Kshema General Insurance Limited 

• Cashless Request Form
• Reimbursement Claim Form

• • CKYC form

1860 120 5577

www.kshema.co

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Bandhan Life Insurance Co. Ltd.

• Cashless Request Form
• Reimbursement Claim Form

1800-258-8181

www.bandhanlife.com

 b 

HDFC Life Insurance Co. Ltd.

• 
  
• Cashless Request Form
• Reimbursement Claim Form A
• Reimbursement Claim Form B

1800-266-9777

www.hdfclife.com