Documents for Provider Enrollment

Please download forms from the link provided and send us a duly filled signed and stamped copy.

Address:
The Networking Department
Paramount Healthcare Management Pvt.
PLOT NO. A-442,Road No. 28, M.I.D.C., Industrial Area,
Wagale Estate, Ram Nagar,Vitthal Rukhmani Mandir,
Thane West
Pin Code - 400604.

NOTE: Hospital registration certificate is mandatory. Kindly forward the same along with the documents.

Our representative will get in touch with you on receipt of the documents.

Documents available:

1)   Introduction letter

2)   Provider Information for Hospital Empanelment

3)   Multispeciality Ratelist Format

4)   Single Speciality - Ophthalmology Ratelist Format

5)   Provider Information form - Diagnostic Center Empanelment

6)   Flow Process for Provider - Diagnostic Center

7)   NEFT FORMAT for Hospitals and DC's

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