Form RPR – 23 — CAM

The bill for medical reimbursement should be prepared in Form RPR – 23. Bills1. 2. The amount drawn in the bills must be supported by proper paid receipts and vouchers in all cases, and should be submitted by the Government servant along with essentiality certificates in Form 'A' or 'B'. 3. PAO is to examine as to whether the fees charged by the Authorised Medical Attendant is in accordance with the prescribed rates. 4. Examine that all the sub-vouchers including for tests etc. prescribed by private hospitals are duly countersigned by the Medical Officer in CGHS Centre and by the competent authority accepting the claim of medical reimbursement. Cases where officials undergo treatment in emergency, requisite emergency certificate issued with the approval of HoD are enclosed along with bill. 5. Special care is to be taken in regard to the diet charges (because these are normally included in the hospital bills submitted by the Government servants). 6. Medicine purchased from open market/chemist is not admissible i.e. in case of CGHS beneficiaries as per OM issued by CGHS dated 24.07.1995 &. 18.02.2000. Inadmissible items should not be allowed as per CGHS OM F.No.2-l/2012/CGHS/VC/CGHS(P) dated 01.08.2013. 7. Restricted/approved amount should be attested by DDO through Passed for Payment. 8. Check that if part settlement has been made by medical claim insurance policy, certificate to the effect that total reimbursement amount claimed from both (insurance & CGHS) are not exceeded from actual expenditure is provided with the bill in terms of M/o Health & Family Welfare orders.