Monday, July 9, 2018

MEDICAL REIMBURSEMENT PROPOSAL & CLAIMING SOFTWARE AND 16 POINTS GUIDELINES

MEDICAL REIMBURSEMENT PROPOSAL AND  CLAIMING  SOFTWARE


MEDICAL REIMBURSEMENT PROPOSAL AND CLAIMING SOFTWARE FOR WORKING ,RETIRE AND DEATH FOR TS AND  AP

IT CAN BE USED FOR  BOTH PURPOSES 1. SUBMISSION OF MEDICAL BILL  PROPOSAL  2.CLAIMING OF SANCTIONED MEDICAL BILL AMOUNT


16 POINTS GUIDELINES FOR SENDING MEDICAL REIMBURSEMENT PROPOSALS




The following Officer should arrange and to submit the proposal in the following order serially.


  1. 1. Forwarding Letter
  2. 2. Applications Requisition of individual with date
  3. 3. Check list duly attested by the Forwarding Officer
  4. 4. Appendiw-II duly signed by the Employee/Pensioner and attested by the Forwarding Officer
  5. 5. Non-Drawal Certificate in Prescribed proforma as communicated vide reference read above
  6. 6. Dependent Certificate as required in prescribed proforma which as communicated vide reference read above with Forwarding Officer signature.
  7. 7. P.P.O.(Pension Payment Order) copy in case of pensioner/family pensioner attested by the Forwarding Authority.
  8. 8. In case of accident cases and treatment taken in un-recognized hospitals under emergency, FIR should be submitted.
  9. 9. For every follow up treatment for post operative cases and who requires lifelong treatments, revalidation of prescription once in six month from special Government Doctor attested by Forwarding Officer.
  10. 10. Legal Heir Certificate should be submitted in case of death of the Teachers/Pensioners/Dependents duly attested by the Forwarding Authority.
  11. 11. A copy of proceedings Issued by the Director of Medical Education for recognition of the hospital.
  12. 12. Emergency Certificate/O.P in original duly signed with stamped by the treating doctor attested by Forwarding Officer.
  13. 13. Essentiality Certificate in original duly signed with stamped by the treating doctor attested by Forwarding Officer.
  14. 14. Discharge Summery/Discharge Memo.(OP card in respect of OP treatment) in original duly signed with stamped by the treating Doctor attested by Forwarding Officer.
  15. 15. Abstract of Bills (All original Medical Bills should be signed with stamp by the treating Doctor) attested by Forwarding Officer.
  16. 16. Details proposal along with justification/need in case of claims where relaxation of rules in involved.

Further, all the District Educational Officers in the State are requested to direct all the Drawing and Disbursement Officers in their instructions to furnish to the proposal in triplicate to the Commissioner and Director of School Education (Original plus Two (2) sets of Xerox copies should be attested by the Forwarding Authority including Medical Bills). One set of Xerox copies of Bills shall, invariably, be kept with the Forwarding Officer even after the disposal of the claim.
Separate proposal for the treatment obtained at NIMS/SVIMS/RIMS and other private recognized hospitals shall be submitted.



All the District Educational Officers in the State are requested to issue necessary instructions to all the concerned Drawing and Disbursement Officers under their instructions issued by the Commissioner and Director of School strictly and submit the proposals accordingly. Any deviation in this regard will be viewed seriously and necessary disciplinary action will be initiated against them as per CCA Rules 1991. The concerned Forwarding Authorities/ Drawing and Disbursement Officers are personally held responsible for fake and fabricated bills and misappropriation of public funds.

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