CHECK LIST FOR REIMBURSEMENT CLAIM ON MEDICAL EXPENCES
KINDLY ATTENTION all RAILWAY EMPLOYEES ( SERVING & RETIRED) CLAIMING RE-IMBURSEMENT OF MEDICAL EXPENCES/ all AMO’s, & HU In charges forwarding files.
For timely & speedy disposal of cases claiming reimbursement of expenses on medical treatment in ‘EMERGENCY CIRCUMSTANCES’, at the level of Divisional Hospital, Delhi, kindly scrutinize your all papers/documents at your level before submitting at Divisional Hospital, Delhi , and attach following documents with the Performa claiming reimbursement, so that file can be forwarded to higher authorities on time without delays occurring due to non availability of documents or due to inability to verification of reports/bills/vouchers.
1. Kindly see your treatment papers, that you are submitting your application for claiming reimbursement on medical expanses within the prescribed time limit , i.e. within six months of the treatment taken. If you submitting your papers after six months, kindly give an application stating reasons for the delay, and first get your case ‘Delay Condon’ from Accounts Department, and then submit it at Divisional Hospital, Delhi ( This will save your a lot of time).
2.Railway Employees/ Retired Railway Employee’s application , addressed to CMS, Divisional Hospital/DLI, giving circumstances under which he/she took treatment. (Kindly do not forget to give your clear address and valid phone number in working , where you can be contacted in future whenever required.)
3.Photocopy of medical card/ RELHS I Card( all pages,Dully attested by the Gazetted Officer).
4. Essential Certificate issued by the treating doctor of the hospital, ( not by casualty doctor ) countersigned by Medical Supdt. Of the the Treating Hospital .
5. Discharge certificate slip in original. Kindly also submit all reports in original or photocopy of investigations/ procedures done during the treatment. This will help in verifying the bills/ vouchers attached with the application.
6.Bills/ Vouchers submitted in Original, dully verified & countersigned by treating doctor, ( Authorized Medical Officer)( not by casualty doctor).
7.Detailed item wise break up of all the bills( this means , all bills /vouchers submitted above should be reproduced in legible manner ), e.g
SNo | Bill no & date | Name of chemist shop | Item name | Quantity | Amount price Rs | Remarks , if any |
8. In case of referred cases attach original referral slip.
9. Your Basic Pay/ Pension at the time of availing Treatment, & claiming reimbursement. kindly submit photocopy of pay slip/ PPO pension order, to calculate your entitlement for accommodation as per CGHS/AIIMS rates, which is dependent on your basic pay ( without the inclusion of grade pay) / Pension on the date of treatment taken .Also give details of your bank account with MICR No., where your salary/ pension is credited, so that your payments can be made to your account directly by ECS.( submit photocopy of cheque/passbook )
10. All AMO’s/ HU In charges to kindly give attention on above points before forwarding the application of patients claiming reimbursement.
11. Dealing OS at Divisional Hospital to kindly receive and submit the files for further action only after checking all points as mentioned above for speedy & timely disposal of files of reimbursement.