Document Management System

Click Here to download self declaration form.
It is mandatory to submit sign declaration form while uploading claim documents on portal.
It is mandatory to submit sign declaration form while submitting original files.

1. PATIENT DETAILS
Patient Name : VARSHA PANDURANG DHAVALE Insured Name: VARSHA PANDURANG DHAVALE PHM No. :34105011 Fir/Ext. :5553953 Employee No. :19456 Insurance Name :SBI General Insurance Company Ltd. Group Name :SYNECHRON TECHNOLOGIES PRIVATE LIMITED Policy No. : 4101200500000274-02 Policy Period: 31/03/2022 - 30/03/2023 Age : 35 Gender :FEMALE Relation With Insured : Employee
2. UPLOAD INFORMATION
  • Please do not upload scanned documents page by page.
  • Select all scanned documents and upload at once in pdf format.
  • Click Here to see how to browse and upload scanned documents.
PHS ID
Physical file submission Branch*
Date of admission
Date of Discharge

SBI GENERAL INSURANCE COMPANY LTD.

  • Claim will be Processed for payment based on the complete set of scanned documents uploaded by Insured through portal. In case of any deficient document / requirement we may raise the query & process further on receipt of these documents.
  • In the mean time Insured has to keep the Original Claim documents in their safe custody, and should be available to TPA within 30 days from date of lockdown is over and dispatch facilities ( Courier/Post) resumes.
  • I hereby declare that I shall not produce, use or claim the physical copy of the electronically submitted claim documents submitted to TPA NAME at any other Insurer/ TPA for whatsoever reason except in case where Sum Insured available (incl. bonus) in present Insurance policy is not sufficient to cover claim amount fully and I have other Insurance policy /ies to cover balance claim amount from either same or different Insurer wherein certified copy of same claim documents will be produced without any unethical intent to claim the amount twice.
  • Intimation of claim should be made to TPA through Email, Call, portal or Mobile app as per the defined timeline.
  • Submission of Original Claim documents to Insurance Company / TPA as per the defined timeline
  • FOR Corporate GMC Policies - All scanned claim documents to be self attested by Employee. Self Declaration / undertaking in the prescribed format shall be countersigned /confirmed over mail by Corporate HR.
  • FOR RETAIL POLICIES - All scanned claim documents to be self attested by insured/member. Self Declaration/undertaking as per the prescribed format
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