InsuranceMS
OOAD / UML
OOAD Docs & UML
Role: Customer
2
R
Rohan Sharma
customer
Back to Claims History
Claims Portal
Submit Hospitalization Claim
File a medical expense reimbursement claim under your active health insurance policy.
Select Active Policy
POL2001 - Health Insurance (Sum Insured: ₹500,000)
POL2004 - Health Insurance (Family Floater) (Sum Insured: ₹1,000,000)
Claim Type
Hospitalization (Inpatient)
Pre-Hospitalization
Post-Hospitalization
Day Care Treatment
Critical Illness
Total Claimed Amount (₹)
Hospital / Medical Facility Name
Date of Admission
Date of Discharge
Clinical Diagnosis & Treatment Summary
Emergency admission for acute appendicitis surgical procedure and postoperative care.
Discharge Summary & Hospital Bills
Mock verification: Attached 3 documents (discharge_summary.pdf, bills_breakup.pdf)
Submit Claim for Verification