ECHS Medical Claim File Checklist

1Here is a simple and practical ECHS Medical Claim File Checklist that many ECHS Polyclinics use while submitting reimbursement claims. Arrange your documents in this exact order in the file to avoid rejection. 📂📋 ECHS Medical Claim File Checklist1️⃣ Application & Claim FormsCovering Application Letter for Medical ReimbursementECHS Claim FormContingent BillBeneficiary Signature Verification2️⃣ Identity DocumentsCopy of ECHS Smart CardCopy of PPO (Pension Payment Order)Copy of Aadhaar CardMobile Number written on application3️⃣ Bank DetailsCancelled Cheque ORBank Passbook Copy (first page)(Account must belong to the beneficiary or primary card holder)4️⃣ Polyclinic Referral DocumentsECHS Referral LetterNon-Availability (NA) Certificate (if applicable)5️⃣ Hospital Treatment DocumentsHospital Admission SlipDischarge SummaryDoctor’s PrescriptionMedical Investigation Reports (X-ray, Blood Test, etc.)6️⃣ Bills & Payment DocumentsOriginal Hospital BillOriginal Medicine BillsLab Test BillsProcedure / Surgery BillsPayment Receipt7️⃣ Surgery Related Documents (if surgery done)Implant Stickers / BarcodeOperation NotesSurgeon Certificate8️⃣ Emergency Treatment Documents (if emergency case)Emergency CertificateEmergency Admission Proof📌 Important Tips✔ Use A4 file with index page✔ Arrange documents in chronological order✔ Attach original bills✔ Keep photocopies for your record✔ Submit to Parent ECHS Polyclinic