{"id":1057,"title":"COMMERCIAL PACKAGE INSURANCE POLICY CLAIM FORM","purpose":"claim","insurer":{"slug":"raheja-qbe-general-insurance","name":"Raheja QBE General Insurance Co. Ltd."},"source_pdf":"https://rahejaqbe.com/uploads/images/commercial-packages/pdf/download/claim-form.pdf","sha256":"20ab162aaf35e871ea80a2aff571142e6d06c6a983d7452295af10c061268e82","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured policyholder to report and claim losses or damages under the Commercial Package Insurance Policy.","notes":[],"title":"COMMERCIAL PACKAGE INSURANCE POLICY CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Write city and pin code","type":"text","label":"City : Pin Code:","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Telephone","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email id","options":[],"required":null,"pdf_field":""},{"help":"Enter your insurance policy number","type":"text","label":"Policy no.","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date of policy period","type":"date","label":"Period of Insurance From to","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section I - Fire & Special Perils","fields":[{"help":"Provide date, time and place where loss occurred","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss with statement","type":"text","label":"Who noticed the Loss and when? Give his statement.","options":[],"required":null,"pdf_field":""},{"help":"Describe how loss happened, damage extent and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Mention if reported and provide details","type":"text","label":"Has the matter been reported to the Police / Fire Brigade? Give details","options":[],"required":null,"pdf_field":""},{"help":"Describe affected property","type":"text","label":"Details of the property affected","options":[],"required":null,"pdf_field":""},{"help":"State ownership interest and others if any","type":"text","label":"If you are not sole owner please mention your interest and details of other interests in the property.","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated amount of claim","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section II - Burglary and Housebreaking","fields":[{"help":"Provide date, time and place of burglary","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe how loss happened, damage extent and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Explain how entry and exit were made","type":"text","label":"How were entry to / exit from the premises effected?","options":[],"required":null,"pdf_field":""},{"help":"State occupancy status and last occupied date/time","type":"text","label":"Were the premises occupied at the time of loss? If not, what date and time were they last occupied?","options":[],"required":null,"pdf_field":""},{"help":"Mention if any suspect is known","type":"text","label":"Is anybody suspected of theft?","options":[],"required":null,"pdf_field":""},{"help":"State if reported and provide details","type":"text","label":"Has the matter been reported to the Police? Give details.","options":[],"required":null,"pdf_field":""},{"help":"Confirm ownership status","type":"text","label":"Is the insured sole owner of the affected property?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section III - Money Insurance","fields":[{"help":"Provide date, time and place of loss","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe how loss happened, damage extent and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Name custodian and employment status","type":"text","label":"In whose custody was the money at the time of loss? Was he an employee?","options":[],"required":null,"pdf_field":""},{"help":"List accompanying persons","type":"text","label":"Who were the other persons accompanying the person carrying the money","options":[],"required":null,"pdf_field":""},{"help":"Describe mode of carrying money","type":"text","label":"How was the money carried?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""},{"help":"Describe recovery efforts","type":"text","label":"What steps have been taken to recover the lost money?","options":[],"required":null,"pdf_field":""},{"help":"State if reported and provide details","type":"text","label":"Has the matter been reported to the Police? Give details.","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section IV – Public Liability (Industrial) Insurance","fields":[{"help":"Provide date, time and place of accident","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"State when accident was known","type":"text","label":"When did you come to know about the accident?","options":[],"required":null,"pdf_field":""},{"help":"Describe accident details and cause","type":"text","label":"Provide details of circumstances of accident, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide injury details if any","type":"text","label":"Was any person sustained bodily injury? If yes, give details","options":[],"required":null,"pdf_field":""},{"help":"Provide third party claim details","type":"text","label":"Has any claim been made by any third person? If yes, please provide details","options":[],"required":null,"pdf_field":""},{"help":"List witnesses and their statements","type":"text","label":"If possible, give details of witnesses with their statements","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section V – Consequential Loss (Fire & Allied Perils)","fields":[{"help":"Provide date, time and place of loss","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name insurer for material damage","type":"text","label":"Who is the Insurer for material damage? If it is another insurer, please provide details.","options":[],"required":null,"pdf_field":""},{"help":"State claim settlement status","type":"text","label":"Is the material damage claim settled? If not, please provide status of claim.","options":[],"required":null,"pdf_field":""},{"help":"Describe loss details and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide indemnity sum and period","type":"text","label":"Indemnity sum insured and Indemnity period","options":[],"required":null,"pdf_field":""},{"help":"State estimated interruption duration","type":"text","label":"Estimated interruption period","options":[],"required":null,"pdf_field":""},{"help":"Provide turnover for last two financial years","type":"text","label":"Turnover for the previous and current Financial Year","options":[],"required":null,"pdf_field":""},{"help":"Provide gross profit for last two financial years","type":"text","label":"Gross Profit for the previous and current Financial Year","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""},{"help":"Provide any other relevant details","type":"text","label":"Any additional information relevant to the claim","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VI – Fidelity Guarantee","fields":[{"help":"Provide dates and place of defalcation","type":"text","label":"Dates and Location of Defalcation","options":[],"required":null,"pdf_field":""},{"help":"Name discoverer and describe method","type":"text","label":"Who discovered the defalcation and how was it committed?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of employee involved","type":"text","label":"Name, designation and department of the defaulting employee","options":[],"required":null,"pdf_field":""},{"help":"Describe audit frequency, discrepancies and actions","type":"text","label":"What is the frequency of checking / auditing the Cash books / Accounts / Stock books, etc. Was any discrepancy noted during those routine checks? If yes, give details and the action taken.","options":[],"required":null,"pdf_field":""},{"help":"Describe recovery or mitigation steps","type":"text","label":"What action has been taken to recover or to mitigate the loss","options":[],"required":null,"pdf_field":""},{"help":"State if reported and provide details","type":"text","label":"Has the incident been reported to the Police? Please give details","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VII – Plate Glass / Neon Sign","fields":[{"help":"Provide date, time and place of loss","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe loss details and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section VIII – Electronic Equipment Insurance","fields":[{"help":"Provide date, time and place of loss","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe loss details and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide equipment details including make, model, serial number and dates","type":"text","label":"Details of Machinery / Equipment ( Make, Model and Serial no., Date of Mfg. or Purchase)","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section IX – Group Personal Accident","fields":[{"help":"Provide date, time and place of accident","type":"text","label":"Date, Time and Location of Accident","options":[],"required":null,"pdf_field":""},{"help":"Describe injury sustained","type":"text","label":"Nature of injury","options":[],"required":null,"pdf_field":""},{"help":"Describe how accident happened","type":"text","label":"Provide details of circumstances of accident","options":[],"required":null,"pdf_field":""},{"help":"Provide hospitalization and treatment details","type":"text","label":"Give details of the hospitalization and medical treatment received","options":[],"required":null,"pdf_field":""},{"help":"State if reported and provide details","type":"text","label":"Has the matter been reported to the Police? Please give details","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section X – Machinery Breakdown","fields":[{"help":"Provide date, time and place of breakdown","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed breakdown","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe breakdown details and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide machinery details including make, model, serial number and year","type":"text","label":"Machinery details ( Make, Model, Serial no., Year of Mfg. / Purchase","options":[],"required":null,"pdf_field":""},{"help":"Provide replacement cost estimate","type":"amount","label":"Replacement cost of the similar new machine","options":[],"required":null,"pdf_field":""},{"help":"Provide last maintenance or service date and details","type":"text","label":"Date of last maintenance / service / overhaul – give details","options":[],"required":null,"pdf_field":""},{"help":"Provide warranty expiry date","type":"date","label":"Date of expiry of manufacturer’s warranty","options":[],"required":null,"pdf_field":""},{"help":"Provide details of any prior repairs","type":"text","label":"Details of previous repairs","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section XI – All Risk (Portable Equipment)","fields":[{"help":"Provide date, time and place of loss","type":"text","label":"Date, Time and Location of Loss","options":[],"required":null,"pdf_field":""},{"help":"Name and time of person who noticed loss","type":"text","label":"Who noticed the Loss and when?","options":[],"required":null,"pdf_field":""},{"help":"Describe loss details and cause","type":"text","label":"Provide details of circumstances of loss, its extent and its cause","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated claim amount","type":"amount","label":"Estimated claim amount","options":[],"required":null,"pdf_field":""},{"help":"State if reported and provide details","type":"text","label":"Has the matter been reported to Police? If yes, please furnish details","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"Section XII – Workmen’s Compensation","fields":[{"help":"Provide date, time and place of accident","type":"text","label":"Date, Time and Location of Accident","options":[],"required":null,"pdf_field":""},{"help":"Provide injured person's name","type":"text","label":"Name of the injured person","options":[],"required":null,"pdf_field":""},{"help":"Describe accident circumstances","type":"text","label":"Provide details of circumstance of accident","options":[],"required":null,"pdf_field":""},{"help":"Describe injured person's work nature","type":"text","label":"State nature of work for which injured person was employed","options":[],"required":null,"pdf_field":""},{"help":"Confirm if injured was working or describe alternate work","type":"text","label":"Was the injured person engaged in the occupation when the accident occurred? If not, state exactly the nature of work he was doing.","options":[],"required":null,"pdf_field":""},{"help":"State employment status and details","type":"text","label":"Is the injured person in direct employment? Please provide details","options":[],"required":null,"pdf_field":""},{"help":"Confirm if accident was work-related","type":"text","label":"Are you satisfied that the accident occurred in the course of and arising out of employment?","options":[],"required":null,"pdf_field":""},{"help":"Provide medical and hospitalization details","type":"text","label":"Give details of his hospitalization / Medical treatment","options":[],"required":null,"pdf_field":""},{"help":"State if other insurance coverage exists","type":"text","label":"Is the injured employee covered under any other policy ( ESI / Personal Accident)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Commercial Package Insurance Policy claims including Fire & Special Perils, Burglary, Money Insurance, Public Liability, Consequential Loss, Fidelity Guarantee, Plate Glass, Electronic Equipment, Group Personal Accident, Machinery Breakdown, All Risk, and Workmen’s Compensation","attachments":[],"declarations":["The claimant declares that all answers are truthful and accurate to the best of their knowledge.","The claimant understands that the claim may be refused if information is untrue, inaccurate or concealed."],"dropped_labels":1},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"customercare@rahejaqbe.com","label":"Claims service mail ID","level":null,"hours":"Monday to Saturday, 9 am to 8 pm","applies_to":"all","source_url":"https://rahejaqbe.com/claims","quote":"Commercial Lines Claims\nClick here\nto track you claim status\nClick here\nto Register a Claim\nIntermediaries\n18001027723\ncustomercare@rahejaqbe.com\nContact Us\nHospital\nLocator\nGarage\nLocator\nRegister\na Claim\nRegister\nComplaint With Us\nPolicy\nServicing\nLet us call you","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"info@mediassistindia.com","label":"Medi Assist TPA Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@healthindiatpa.com\n,\nhelp@vidalhealthtpa.c","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"cashless@mediassist.in","label":"Medi Assist TPA Cashless Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":", kindly visit\nhttps://www.medibuddy.in/claim\nToll Free Number :\n1800-4259-449\nEmail Address :\ninfo@mediassistindia.com\ncashless@mediassist.in\nCashless everywhere\nReimbursement claim registration :\nRetail\nCorp employee\nMedi Assist Insurance TPA Pvt. Ltd.\n4th Flo","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"contact.phs@paramounttpa.com","label":"Paramount TPA Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@healthindiatpa.com\n,\nhelp@vidalhealthtpa.com\n,\nFor claim registration of","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"nonetwork.phs@paramounttpa.com","label":"Paramount TPA Non-network Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"ttpa.com/PolicyClaim/PolyClaimStatus.aspx\nToll Free Number :\n9122-66620808\nEmail Address :\ncontact.phs@paramounttpa.com\nnonetwork.phs@paramounttpa.com\nCashless everywhere\nReimbursement claim registration\nClaim tracker/status for all type of claims.\nParamount TPA Office","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"assistance@volohealthtpa.com","label":"Volo Health TPA Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"ed (Annual Disclosure) – Disclosures Data (22-23)\nTPA Details\nVolo Health\nToll Free Number :\n1800202022\nEmail Address :\nassistance@volohealthtpa.com\ncashlesseverywhere@volohealthtpa.com\nsupport@volohealthtpa.com\ncashless@volohealthtpa.com\nCashless everywhere\nReimburse","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"cashlesseverywhere@volohealthtpa.com","label":"Volo Health TPA Cashless Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"losures Data (22-23)\nTPA Details\nVolo Health\nToll Free Number :\n1800202022\nEmail Address :\nassistance@volohealthtpa.com\ncashlesseverywhere@volohealthtpa.com\nsupport@volohealthtpa.com\ncashless@volohealthtpa.com\nCashless everywhere\nReimbursement claim registration\nClaim tracker","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"support@volohealthtpa.com","label":"Volo Health TPA Support Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@healthindiatpa.com\n,\nhelp@vidalhealthtpa.com\n,\nFor claim registration of other policies (\nSaral Surak","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"cashless@volohealthtpa.com","label":"Volo Health TPA Cashless Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"1800202022\nEmail Address :\nassistance@volohealthtpa.com\ncashlesseverywhere@volohealthtpa.com\nsupport@volohealthtpa.com\ncashless@volohealthtpa.com\nCashless everywhere\nReimbursement claim registration\nClaim tracker/status for all type of claims.\nVolo Health Insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"customersupport@healthindiatpa.com","label":"HealthIndia Insurance TPA Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@healthindiatpa.com\n,\nhelp@vidalhealthtpa.com\n,\nFor claim registration of other policies (\nSaral Suraksha Bima\n,\nPravasi Bhartiya Bima Yoja","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"preauth@healthindiaindiatpa.com","label":"HealthIndia Insurance TPA Preauth Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"pa.com/CustomerCorner/ClaimStatus.aspx\nToll Free Number :\n1800220102\nEmail Address :\ncustomersupport@healthindiatpa.com\npreauth@healthindiaindiatpa.com\nCashless everywhere\nReimbursement claim registration\nClaim tracker/status for all type of claims.\nHealthIndia Insurance","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"help@vidalhealthtpa.com","label":"Vidal Health Insurance TPA Email","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"o@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@healthindiatpa.com\n,\nhelp@vidalhealthtpa.com\n,\nFor claim registration of other policies (\nSaral Suraksha Bima\n,\nPravasi Bhartiya Bima Yojana\n,\nGroup Hospital Cash\n,","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"claims@rahejaqbe.com","label":"Claims email for two wheeler bundled policy","level":null,"hours":null,"applies_to":"motor","source_url":"https://rahejaqbe.com/uploads/images/tw-bundle/pdf/download/tw-bundle-_Prospectus-V01.pdf","quote":"800-102-7723 or in writing at the nearest Offices or through an intermediary.\n• Alternatively, you can also reach us at claims@rahejaqbe.com You can report with vehicle/ report claim at network garage whereby claim registration shall be done by network garage","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18001027723","label":"Claims call centre","level":null,"hours":"Monday to Saturday, 9 am to 8 pm","applies_to":"all","source_url":"https://rahejaqbe.com/claims","quote":"ims!\nExplore\nCommercial Lines Claims\nClick here\nto track you claim status\nClick here\nto Register a Claim\nIntermediaries\n18001027723\ncustomercare@rahejaqbe.com\nContact Us\nHospital\nLocator\nGarage\nLocator\nRegister\na Claim\nRegister\nComplaint With Us\nPolic","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-4259-449","label":"Medi Assist TPA Toll Free Number","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"p Up\n,\nArogya Sanjeevani\n,\nGroup Health Insurance\n,\nGroup Health Super Top Up\n) kindly contact our TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"9122-66620808","label":"Paramount TPA Toll Free Number","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"njeevani\n,\nGroup Health Insurance\n,\nGroup Health Super Top Up\n) kindly contact our TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800202022","label":"Volo Health TPA Toll Free Number","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"Health Insurance\n,\nGroup Health Super Top Up\n) kindly contact our TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsuppor","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800220102","label":"HealthIndia Insurance TPA Toll Free Number","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"ance\n,\nGroup Health Super Top Up\n) kindly contact our TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealtht","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"080-28004114/18004257878","label":"Vidal Health Insurance TPA Toll Free Number","level":null,"hours":null,"applies_to":"health","source_url":"https://rahejaqbe.com/claims/health-claims","quote":"Health Super Top Up\n) kindly contact our TPA.\nContact number-\n1800-4259-449\n,\n9122-66620808\n,\n1800202022\n,\n1800220102\n,\n080-28004114/18004257878\nEmail address-\ninfo@mediassistindia.com\n,\ncontact.phs@paramounttpa.com\n,\nsupport@volohealthtpa.com\n,\ncustomersupport@he","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800-102-7723","label":"Call centre for claims intimation","level":null,"hours":"9 am to 8 pm, Monday to Saturday","applies_to":"all","source_url":"https://rahejaqbe.com/uploads/images/two-wheeler-package/pdf/download/tw-package-prospectus-V01.pdf","quote":"ct numbers specified in the Schedule to the Policy.\n• Intimation of claim can also be made to Raheja QBE Call centre at 1800-102-7723 or in writing at the nearest Offices or through the intermediary.\n• Alternatively, you can also reach us at customercar","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/raheja-qbe-general-insurance/1057-commercial-package-insurance-policy-claim-form"}