Irish Life Health
Irish Life Health hospital claim form
The hospital supplies the Irish Life Health claim form; the consultant's part is the clinical section and the procedure code the patient needs to check cover.
The form itself is Irish Life Health’s: the official form, on Irish Life Health’s site (link checked 24 October 2026). Below is what each person fills in, where it goes, and the document we provide beside it.
What it asks for
Before admissionThe secretary completes
- Consultant name
- Hospital name
- Procedure code
- Irish Life Health membership number
Hospital claim forms the hospital suppliesThe issuer completes
- Hospital claim form
- ICU claim form
- Anaesthetists' claim form
- Out-patient scans claim form
- Psychiatric claim form
- Maternity claim form
Where it goes
- Before going into hospital, the member checks cover for the hospital or treatment with Irish Life Health on 01 562 5100, with the consultant name, hospital name and procedure code.
- Hospitals supply the hospital claim forms to Irish Life Health members.
- The schedule of benefits describes the hospital claim form as completed by the admitting consultant surgeon or physician and submitted by the hospital with its own invoice.
Using it well
- Give the patient the procedure code in writing before they ring to check cover.
- Ask the hospital which of its Irish Life Health forms the admission needs; the ICU and anaesthetists' forms are separate.
Insurer claim submission is not in Ask Brigid’s launch release.
Open it in the sample practice
The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.
Sources
- Irish Life Health, types of claim forms, read 24 October 2026
- Irish Life Health schedule of benefits for professional fees, read 24 October 2026
Checked against the sources above on 24 October 2026. Issuers change their forms; check the official page before you rely on a detail here.
Questions
Where do I get the Irish Life Health hospital claim form?
From the hospital. Irish Life Health's help page says hospitals supply the hospital claim form, the ICU, anaesthetists', out-patient scans, psychiatric and maternity forms to members.
What does the patient need before admission?
The consultant name, the hospital name and the procedure code, to check cover with Irish Life Health on 01 562 5100.
Does Ask Brigid submit the claim to Irish Life Health?
No. Insurer claim submission is not in the launch release. The companion sheet gathers the procedure code and the consultant's details for the admission.
In Ask Brigid this paperwork sits beside the diary and the record: Invoices and card payments in Ask Brigid.