Medical Bill Reimbursement Form Esic - PDF Download

Most of the time when insured person or employer fails to intimate the respective ESI dispensary about joining of insured person in private hospital then the claim will get rejected.

HI
Above topic , i have one clarification one of our employee also going same issues. but same procedure followed. claims bills rejected due to employee dosen't hold the icic bank a/c.
please let me know is it complusory they have issued reimbursement amount to only icic account?
Regards
Sheena

hiii everyone..
i have an questions regarding maternity benefit for wife of IP.
1)can she take treatment in private hospital?
2)what is the process to claim for esic after taking treatment in private hospital?
3)how much contribution of company in total bill payment?

Dear Seniors
i have a query regarding ESIC medical reimbursement. I have an employee who was covered under esic. he admitted his mother to an esic tie-up hospital in emergency situation. He informed the ESI dispensary after 3 days. The esic dispensary gave him the referral letter to the tie-up hospital where his mother was admitted. But the irony was that the tie-up hospital refuse to accept the referral letter. he was told by hospital authority that they had stopped taking esic patients as esic is delaying/not paying their payments for months. he had no other choice but to pay the bills himself. Now is there any way to claim reimbursement from esi.If yes whats the complete procedure to claim it.

Any 1 please attach essentially certificate for reimbursement for esi

Dear Sir/madam
Greetings for the day,
I have a query regarding ESIC, I am the worker took treatment for my father of PSORIASIS and MTX TOXICITY febrile neutropenia from a PGI hospital in Chandigarh without referring ESIC in Febuarary, because of my ignorance towards ESI benefits, and he is listed in ESIC. and his medical expenses are more than his paying capacity.
Now I want claim his medical expenses form ESI department as we are paying his contribution. is it possible to claim his expenses from ESIC in this case if yes than what is the complete procedure for this?
Thank you
Warm Regards
ROHTASH

Hi Friends,
I am working as HR at an Apparel mall, One of my employee has undergone a minor surgery & wishes to claim the amount under ESIC. What is the process for the same. Which form is to be proceeded for the same.
Regards
Preeti

Dear sir

Greeting for the day

Please help me i need esic reimbursement forms for claim for my employees if any one having please do help

thanks & regards
vijay kumar
admin