Hospital Empanelment & Revision of MOU:

 

a. New Empanelment Form:

• Empanelment Form
• Utilization form and Proposed rates Form: Eye Hospital
• Utilization form and Proposed rates Form: Others

b. Revision of MOU/Rate Revision:

• Utilization Form (Procedure wise Footfalls)
• Note: Please submit last 2 years SOC’s (Schedule of charges)