Attachment

Vehicle Registration Certificate / Smart card

Water Bill with address

Electricity Bill of Govt./private company (not older than 3 months)

Telephone Bill of a fixed line. (Any Service Provider)

Registered Sale/Lease (Rent) Agreement

IT Assessment Order

Surrender ID Card (BLT etc.) issued by Govt. of India signed by IGP of the state

PDS Card

MNREGA Job Card

Army Canteen Card

Any other Central/ State government issued family entitlement document

Marriage Certificate issued by the government

Discharge card/ slip issued by Government hospitals for birth of a child

Certificate of Identity having photo issued by MP or MLA or MLC or Municipal Councillor or Gazetted Officer on UIDAI standard certificate format

Certificate of Identity having photo and relationship with HoF issued by Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas)

Certificate of Identity containing Name, DOB and Photo issued by Recognized Educational Institution signed by Head of Institute on UIDAI standard certificate format

Certificate of identity containing Name, DOB and Photograph issued by Employees Provident Fund Organisation (EPFO) on UIDAI standard certificate format

SSLC Book/ Certificate

Marksheet issued by any Government Board or University

Government Photo ID Card/ Photo Identity Card issued by PSU containing DOB

Extract of School Records issued by Head of School containing Name, Date of Birth and Photograph

Photograph of self

Photograph of family

Photograph of dead person

Photograph (any other required for claims adjudication)

Self signed declaration form

Hospital stamped and signed hospital declaration form

Any other consent form or miscellaneous declaration form

Self signature (wet signature) scanned copy

Hospital signature and stamp (scanned copy)

Medical Certificate

Final Bill

Interim Bill

Estimate Bill

Lab Investigation Report

Radiology Report

Imaging Report with study

Genetic Assessment Report

Doctor Referral letter (to specialist)

Upward Referral Letter (referral from HWC, SC, PHC,CHC to District Hospital)

Downward Referral Letter (referral from higher facility to the original referee facility)

Inter Hospital Referral Letter

Doctor Referral letter (to hospital)

Doctor signed treatment extension letter

Doctor signed discharge extension letter

Post discharge readmission request letter

Doctor Prescription

Consultation Summary Note

Daily progress note

Nursing note

OT Surgery Note

Flowsheet

ICU monitoring reports with note

Medication Diapensation Note

CarePlan

Emergency Treatment Note

Bedside monitoring report

Point of care testing report

FIR report

DischargeToHome (Discharge disposition status)

DischargetoMortuary(death disposition)

DischargeToUnknownLocation

DischargeToDifferentState

DischargeToDifferentCountry

Admission date -Discharge date

Discharge start-discharge end time

PatientNormalRoom (start datetime- enddatetime)

PatientEmergencyRoom(start datetime-enddatetime)

PatientSurgeryPerformed(startdatetime-enddatetime)

PatientICUStay (startdatetime-enddatetime)

ProcedurePerformedDetail

ProcedurePerformedDateTime

ServiceRenderedDetail

ServiceRenderedDateTime

InvestigationPerformedDetail

InvestigationPerformedDetailDateTime

InsurancePolicyExclusion

CostlyProcedureNotCoveredInPolicy

ExpensiveMedicinesNotCoveredinPackage

ConsummablesAndDisposiblesNotcoveredinPolicy

EmploymentDetail

Cause of Injury or Accident

Patient Condition at time of admission after injury

Vehicle Acident detail

Fire Burns detail

Snake Bite detail

Electric Shock detail

Consumption of Poisonous substance detail(FIR Registered or not)

Attack on human body detail (FIR Registered or not)

ImmediateTreatmentProvidedToPatientAfterAccident

AnyPreviousClaimsDueToAccident (previous claim detail)

Date of Accident or Injury

Date-Time of Hospitalization Due to Accident

EncounterDateTime

EncounterType

ReasonCode (encounter reason)

EncounterOutcome

Claim received date time

document detail (submitted with claims)

courier number of claim reciept

MLC Case (Boolean Y/N)

MultiPayorClaim (Boolean Y/N)

Primary and Secondary Payor Detail (in case of Multi Payor claim)

PrimaryorSecondaryClaim

Details of claim settled by primary payor (in case of secondary claims - attachment)

PMJAYInsurancePortabilityCase (Y/N) (treatment received in a different state)

PrimarySHADetails (SHA/TPA detail of state where PMJAY benefeciary belongs to)

SecondarySHADetails (SHA/TPA detail of state where benefeciary received treatment)

EmploymentImpacted (Y/N) for long disabilities)

Employment impacted period (start date - end date)

HospitalizedIndicator (if patient was hospitalized or not - Y/N)

Materials Forwarded

Claim query detail

Treatment detail

Additional info related to claim ( conveying additional situation and condition information.)

Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc.

PMJAY Beneficiary Card

Insurance Card

Employment ID card

Preauthorization approval letter

Claim approval letter

Discharge Summary Report

Death Summary Report

Discharge Summary with LAMA

Discharge Summary with DAMA

Driver's license number

A unique number assigned to the document affirming that a person is a citizen of the country.

Aadhaar is a 12 digit individual identification number issued by the Unique Identification Authority of India

A claim number is a unique identifier assigned to an individual's claim for services rendered, used for billing, reimbursement, and tracking purposes.

It is a document that certifies a person's residential status in a particular state

It is a documentary proof of a person belonging to a specific caste, as categorized under the Indian Constitution

A student ID card can be used by students to prove their identity on a school campus and at local businesses which is athorized by Govt. recognized educational institutions with student photograph on it

An official document granting a person permission to own and use a gun, usually subject to various restrictions.

The Senior Citizen Card issued by the Social Welfare Department provides a recognized proof of age to elders with person photograph on it

Pensioners Card

This is issue to person who participate in the freedom struggle it is issued by Govt. with person photo on card

Passbook issued to kissan which having kissan's photo

A national identification number is used by the governments of many countries as a means of tracking their citizens, permanent residents, and temporary residents for the purposes of work, taxation, government benefits, health care, and other governmentally-related functions.

National Health Resource Repository (NHRR) ID

Ayushman Bharat National Health Protection Mission Id (AB-PMJAY ID) is also a parameter which enables identifying a beneficiary family. This search will only be available to find the family of a beneficiary who has already verified and PMJAY ID has been generated by the system.

ROHINI (Registry of Hospitals in Network of Insurance) is a registry of unique hospitals in the Health Insurers and Third Party Administrators (TPAs) network, in India

ABHA (Ayushman Bharat Health Account) Address is a unique identifier (self declared username) that enables you to share and access your health records digitally.

The Central Government Health Scheme (CGHS) gives a plastic card called the CGHS card to all beneficiaries. The card comes with a unique ID and a photo

An ECHS member who possesses a valid Smart Card can avail of treatment at any ECHS polyclinic any where in India.

Every name visible to the public is certified and authorized to practice medicine in the country.

A Ration Card number is a 10 digit unique numerical figure assigned to every Indian citizen who is the holder of it.

The Indian Voter ID Card is an identity document issued by the Election Commission of India to adult domiciles of India who have reached the age of 18, which primarily serves as an identity proof for Indian citizens while casting their ballot in the country's municipal, state, and national elections

Families that have BPL cards are the ones who are living below the poverty line as specified by the state government

Border ID card

Sri Lankan Refugees Identity Card

Tibetan Refugee Card

Any other number, code, or other identifier that may be assigned to an individual under a law made by parliament or any state legislature

a 14 digit number that will uniquely identify you as a participant in India's digital healthcare ecosystem

Health Practitioner ID issued by NDHM

Any other identifier as may be notified by NDHM from time to time

Certificate of Address having Photo, issued by MP/ MLA / Group A Gazetted Officer on letter head with seal

Certificate of address with photo from Govt. recognized educational institution (for students only)

Certificate of Address having Photo, issued by Head of Village / Gram Panchayat or its equivalent Authority. (for Rural Areas)

Identifier(s) assigned by central/state or local Government authority

Defence Personnel - Armed Forces ;Certificate from Competent Unit Authority

Fresh Certificate carrying the identity and address of the person(s) concerned issued by the Lt. Colonel.

HSN code is used to classify goods from all over the World in a systematic and logical manner.