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Vhi Healthcare

Vhi hospital claim form

The in-patient and day-case claim form Vhi settles directly with the hospital; the admitting consultant owns six of its eleven sections.

The form itself is Vhi Healthcare’s: the official form, on Vhi Healthcare’s site (link checked 24 October 2026). Below is what each person fills in, where it goes, and the document we provide beside it.

Download our companion document (PDF)WordFree, no sign-up. Fill it in on screen or print it.
Vhi hospital claim form: page one of the PDF

What it asks for

Section 1, hospital admissionThe issuer completes

  • Admission date and time
  • Accommodation occupied, including ICU, CCU and NICU

Section 2 to 5, the patientThe patient completes

  • Policy details
  • Name and address of solicitor
  • Authorisation signature and date

Sections 6 to 11, the admitting consultantThe consultant completes

  • Admitting consultant and referrer
  • Medical history
  • Medical investigations and clinical indicator code
  • Diagnosis
  • Treatment section
  • Discharge status
  • Consultant code, signature and date

Where it goes

  • Where Vhi operates a direct payment arrangement it pays the hospital benefit direct to the hospital or treatment centre and sends the member a statement of the benefits paid.
  • Section 1 is completed by the hospital's administration staff; sections 6 to 11 by the admitting consultant.
  • Postal claims go to Vhi, PO Box 11530, Dublin 18.

Using it well

  • Have the consultant code, the clinical indicator code and the procedure dates to hand before the consultant sits down with the form.
  • Keep a copy of the completed consultant section in the patient record, filed with the admission.

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

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

Which parts of the Vhi hospital claim form does the consultant fill in?

Sections 6 to 11: admitting consultant and referral, medical history, investigations, diagnosis, treatment and discharge status, signed with the consultant code. Section 1 is the hospital's; sections 2 to 5 are the patient's.

Where does the finished form go?

Under a direct payment arrangement the hospital deals with Vhi and Vhi pays the hospital benefit direct. Postal claims go to Vhi, PO Box 11530, Dublin 18.

Does Ask Brigid submit the claim to Vhi?

No. Insurer claim submission is not in the launch release. The companion worksheet gathers the consultant's section so it can be copied onto the form in one sitting.

In Ask Brigid this paperwork sits beside the diary and the record: Invoices and card payments in Ask Brigid.

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