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If I have made any false or untrue statement suppression or concealment of any material fact my right to claim reimbursement shall be forfeited. I also consent authorize TPA / insurance company to seek necessary medical information / documents from any hospital / Medical Practitioner who has attended on the person against whom this claim is made. No/ Certificate No. Enter the policy number Enter the social insurance number or the certificate number of social health insurance scheme As allotted ...

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How do I fill out a paramount claim form?

Indicate whether previously covered by another Mediclaim / Health Insurance Tick Yes or No Enter the full name of the insurance company Name of the organization in full SECTION C - DETAILS OF INSURED PERSON HOSPITALIZED Enter the full name of the patient Surname, First name, Middle name Indicate Gender of the patient ...

How do I claim reimbursement in Paramount TPA?

Helpline No. & Email ID Helpline No. : +91 22 666 20 808. Toll free No. : 1800 22 66 55. Senior Citizen Helpline No. : +91 22 666 29 813. Cashless Authorization Email Id : al.request@paramounttpa.com. Email Us : contact.phs@paramounttpa.com. Claim Intimation Email Id : claim.intimation@paramounttpa.com.

What covered in Paramount TPA?

Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines, drugs, diagnostic materials, X-ray, Dialysis, chemotherapy, Radio therapy, cost of pace maker, Artificial limbs, cost or organs and similar expenses.

How do I claim Paramount insurance?

CLAIMS PROCEDURE Duly accomplished claim form: Original copy of Record or details of consultations and treatments in the past. Itemized Hospital Statement of Account showing the time and date of admission and discharge.