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You are here: Home / CGHS / INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS



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INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

November 18, 2013 by rajasinghmurugesan

INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

We, hereby give an undertaking that the original bills of hospital / diagnostic lab / imaging centre, the ID Nos. of which are appended are said to have been destroyed in a fire accident that took place on 11.08.2013 at UTI-ITSL New Delhi office and that we are now submitting the print outs of scanned copies of the above referred original documents/bills for consideration of payment.

We also hereby give an undertaking that no claim shall be made against original documents / bills, of which printouts of the scanned copies are submitted herewith and we agree to indemnify against any loss that may be caused to CGHS due to final settlement of these claims on the basis of printouts of scanned documents/bills and this indemnity bond. We further give an undertaking that if original bill(s) is /are found, no claim shall be made against the same and that in the event of any inadvertent payment received against original bills in future, we agree to indemnify against any loss that may have been caused to CGHS due to final settlement of these claims.

We also certify that no payment was received till date against original / duplicate bills amounting to Rs ( in words…. ) being preferred for payment along with this indemnity Bond.

Enclosed herewith a consolidated list of duplicate bills with ID Nos. and a copy of Bank Account attested by the Bank.

Authorized Signatory

Hospital / Diagnostic Lab / Imaging Centre

On Rs.100 Non-Judicial Stamp paper attested by Notary Public
source-http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File646.pdf

Read more:

  1. CGHS – Revoking of suspension of empanelment in r/o M/s Krishna Super Specialty Hospital Kanpur
  2. Discontinuation of execution of bond for direct recruit candidates as provided under Appendix 21 of P&T Manual IV
  3. Suspension of empanelment of Rockland Hospital, Qutab Institutional Area, New Delhi under CGHS
  4. CGHS Kanpur – Suspension of empanelment of M/s Krishna Super Specialty Hospital
  5. Clarification regarding suspension of CGHS empanelment of BLIP Super Specialty Hospital, Pusa Road, New Delhi
  6. Suspension of CGHS empanelment of BLK Super Specialty Hospital, Pusa Road, New Delhi
  7. ECHS: Empanelled Hospital Claims- Ophthalmic procedures

Filed Under: CGHS, CGHS ORDERS 2013 Tagged With: CGHS ceiling rates, cghs circulars

PAY MATRIX TABLE 1 TO 5PAYMATRIX TABLE 6 TO 9 PAY MATRIX TABLE 10 TO 12PAY MATRIX TABLE 14 TO 15


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