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Annexed Certification of Treating Specialist of Empanelled Hospital for claiming reimbursement of Out Patient Department treatment under BHS 1. Certified that the patient, Sri/SMT.___ is a beneficiary
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How to fill out manual offline reimbursement application

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How to fill out manual offline reimbursement application

01
Obtain a physical copy of the reimbursement application form.
02
Fill out all required fields on the form, including personal information, expense details, and supporting documentation.
03
Double check the form for accuracy and completeness.
04
Submit the completed form along with all relevant receipts and proofs of purchase to the designated reimbursement office.
05
Wait for the processing of the application and follow up as needed.

Who needs manual offline reimbursement application?

01
Employees who incurred business expenses that are eligible for reimbursement.
02
Individuals who do not have access to an online reimbursement system or prefer to submit their claims manually.
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Manual offline reimbursement application is a paper-based process where individuals can request reimbursement for expenses incurred.
Individuals who do not have access to online reimbursement systems or whose expenses cannot be processed electronically may be required to file a manual offline reimbursement application.
To fill out a manual offline reimbursement application, individuals typically need to provide their personal information, details of the expenses incurred, and any supporting documentation.
The purpose of a manual offline reimbursement application is to request reimbursement for expenses that cannot be processed through online systems.
Information such as the individual's name, contact details, expense details, amount requested for reimbursement, and any supporting documentation may need to be reported on a manual offline reimbursement application.
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