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Guidelines for sending medical reimbursement proposals
Here is a list of guidelines for medical reimbursement.
DOCUMENTS/LETTERS
DOCUMENTS/LETTERS
1.Forwarding Letter
2.Application Requisition of the individual with date
3. Checklist duly attested by the Forwarding Officer
4. Appendix-II duly signed by the Employee/Pensioner and attested by the Forwarding Officer
5.Non-Drawal Certificate in Prescribed proforma
6.Dependent Certificate as required in prescribed proforma with Forwarding Officer signature
7.P.P.O.(Pension Payment Order) copy in case of pensioner/family pensioner attested by the
Forwarding Authority
8. In case of accident cases and treatment is taken in un-recognized hospitals under emergency,
FIR should be submitted
9. For every follow-up treatment for post-operative cases and who requires lifelong treatments,
revalidation of prescription once in six months from special government doctor attested by
Forwarding Officer
10. Legal Heir Certificate should be submitted in case of death of the
Teachers/Pensioners/Dependents duly attested by the Forwarding Authority
11. A copy of proceedings Issued by the Director of Medical Education for recognition of the
hospital
12. Emergency Certificate/O.P in original duly signed and stamped by the treating doctor
attested by Forwarding Officer
13. Essentiality Certificate in original duly signed and stamped by the treating doctor attested by
Forwarding Officer
14.Discharge Summary/Discharge Memo. (OP card in respect of OP treatment) in original duly
signed and stamped by the treating doctor attested by Forwarding Officer
15.Abstract of Bills (All original Medical Bills should be signed with the stamp by the treating
Doctor) attested by Forwarding Officer.
16.Details proposal along with justification/need in case of claims where relaxation of rules in
involved
