IRDAI Registration No. : 016 Valid Till : 15-05-2026 , CIN Number: U85199KA2002PTC030218
You can conveniently access and download the required claim forms for submission here.
List of Claim Documents/Claim Forms A & B + ECS Form
Reliance Claim Form
Reimbursement Claim Form - Insured Only
Reimbursement Claim Form - Hospital Only
Pre-Authorisation Form Only
Electronic Clearing Services [ECS] Only
Hospital Information & Verification Form for Empanelment
List of Non-admissible Expenses - IRDA
United Insurance India Customer Feedback Form
IRDA on Critical Illnesses
IRDA Standard Definitions
Standard Discharge Summary
Communication to the Network Providers
Know Your Customer (KYC) Norms
PPN Network-declaration by Patient or Patient's Attendant
Network - Declaration by Patient or Patient's Attendant
Magma - Cash Benefit Claim Form A & B
Manipal Cigna PGIP Claim Form - A Apr19
Manipal Cigna Pre-Authorization Form Apr19
Vidal Health Insurance TPA Now on Whatsapp
CKYC Form