!

I.
I

j.
'.i
!
CHECKLIST
~
i
j
I

1
I
DOCUMENTS REQUIRED FOR PROCESSING OF
I
i APPROVAL/REIMBURSEMENT OF SPECIAL MEDICAL CEILING
!
I
I
I
1. Declaration of dependency duly verified by Departmental Head/Zonal Chiefl Zonal Manager/Branch
! Manager In accordance prevailing Instructions of the Banb may be attached (Proforma enclosed)
I

i alongwith attested photocopies of valid CNIC's of patient/employee & Form lOB-in case of minor
I
i Issued by NADRAare required to ascertain the relationship.
! 2. Please mention whether the employee is governed under serving SR-1961or SR-200S.
!
I
i 3. Original prescriptions of the Specialist duly signed & stamped may be attached.
I

4. Original certificate from concerned Specialist duly signed & stamped/mentioning disease/period
regarding use of medicines & dosage schedule.

5. Three Quotations alongwlth maximum discount may be provided.

6. As per Circular letter No.MOH&SD/tl06/ November 01, 2006, the case for special medical ceiling
should be submitted to HO within 30 days of the advice of treating specialist. The claim cannot be
entertained because of time barred.

7. Further, it is requested that such cases should be sent to HO complete in all respect (in the light of this
checblht) to avoid un-necessary correspondence & delay.

8. Original Lab. Reports of may please be provided.

9. Process the bill through ERP notification with attachment of the following:

I). SMCmonthly claim with reimbursement form dully signed and stamped by the controlling
officer (Proforma attached) with duplicate set of claim.

Ii). Cash memos dully verified by the employee concerned.

iii). Copy of sanctioned letter.

Iv). In case of consultation prescription of treating doctor alongwith receipt of the payment
dully verified.

v), In case of lab tests advice of the treating dodor, lab reports alongwith receipt of the
payment dully verified. .