{"id":448,"date":"2025-07-10T23:16:35","date_gmt":"2025-07-10T23:16:35","guid":{"rendered":"https:\/\/faujiseva.in\/?page_id=448"},"modified":"2025-07-10T23:21:23","modified_gmt":"2025-07-10T23:21:23","slug":"medical-bills","status":"publish","type":"page","link":"https:\/\/faujiseva.in\/hi\/guides\/medical-bills\/","title":{"rendered":"\u091a\u093f\u0915\u093f\u0924\u094d\u0938\u093e \u092c\u093f\u0932"},"content":{"rendered":"\t\t
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Medical Bills Reimbursement Claims<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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For Outpatient & Inpatient Treatment<\/h2>\r\n\r\n

Key Points to Know<\/h3>\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Topic<\/th>\r\n Details<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Submission Process<\/strong><\/td>\r\n All OPD\/Inpatient treatment claims must be submitted to the Pay Accounts Office (PAO) via proper channels.<\/td>\r\n <\/tr>\r\n
Treatment Location<\/strong><\/td>\r\n \r\n
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  • State Hospitals:<\/strong> Claim through Regional CDA\/PCDA.<\/li>\r\n
  • Private Hospitals:<\/strong> Claim after payment \u2192 Regional CDA\/PCDA.<\/li>\r\n <\/ul>\r\n <\/td>\r\n <\/tr>\r\n
Jurisdiction<\/strong><\/td>\r\n The nearest service hospital jurisdiction (Army\/Navy\/Air Force) decides which CDA to approach.<\/td>\r\n <\/tr>\r\n
Payment<\/strong><\/td>\r\n After audit, payment is authorized directly to the individual\u2019s IRLA account.<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n<\/table>\r\n\r\n

Checklist of Required Documents<\/h3>\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Check<\/th>\r\n Document<\/th>\r\n Notes<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
\u2714\ufe0f<\/td>\r\n Appendix \u2018A\u2019 Certificate (AMA as per AO 32\/81)<\/td>\r\n Properly filled<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Cash Memo (Medical certificate & Receipts)<\/td>\r\n Verified by nearest Military Hospital (MH) doctor & countersigned<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n NAC (Non-Availability Certificate)<\/td>\r\n If MH treatment not available<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Diagnostic Centre Reports<\/td>\r\n Must be NABL\/NABH Accredited<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Dependency Certificate (Appendix A to AO 120\/80, amended 16\/91)<\/td>\r\n For dependents<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Contingent Bill<\/td>\r\n Must be countersigned by MH<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Sanction for Tests<\/td>\r\n Must be pre-approved<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Specimen Signature<\/td>\r\n Of countersigning officer<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n AFMSF-9 Form<\/td>\r\n For special investigations<\/td>\r\n <\/tr>\r\n
\u2714\ufe0f<\/td>\r\n Time-barred Sanction<\/td>\r\n If claim is late (beyond 3 or 6 months)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n<\/table>\r\n\r\n

Outpatient Claims Process<\/h3>\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Step<\/th>\r\n Details<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1\ufe0f\u20e3<\/td>\r\n Get treatment from Nearest MH (If available).<\/td>\r\n <\/tr>\r\n
2\ufe0f\u20e3<\/td>\r\n If not available \u2192 Get NAC from MH.<\/td>\r\n <\/tr>\r\n
3\ufe0f\u20e3<\/td>\r\n Approach nearest accredited Diagnostic Centre for required treatment\/tests.<\/td>\r\n <\/tr>\r\n
4\ufe0f\u20e3<\/td>\r\n \r\n Collect:\r\n
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  • Medical Certificate<\/li>\r\n
  • Bills\/Receipts<\/li>\r\n
  • Reports<\/li>\r\n <\/ul>\r\n <\/td>\r\n <\/tr>\r\n
5\ufe0f\u20e3<\/td>\r\n \r\n Prepare Contingent Bill:\r\n