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  • Axa Third Party Authorization Form

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S.) We reserve the right to charge an administrative fee per illustration requested. Loan information. Premium information. Other: (The Policyowner(s) must be specific as to the information the third-party is to receive) Please note: this authorization is not valid for the release of any medical information. 4. Information about the Third-Party To release information to a third-party, the following information is required: Name of Authorized Party(ies): (Please print) Note: Former As.

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You should receive your payment within 5 working days for bank transfers and within 10 working days for cheques, once we've approved your claim. You can also email your claim securely via your online account.

Appointments anytime Just go online or use the AXA Doctor at Hand app. Appointments are usually available within a day. There's no waiting for the surgery to open. And there's no hanging on the phone for an appointment.

Although we don't offer a specific plan for couples, you do have the option to add your partner, or your dependents, to your plan. Our healthcare plans offer quick access to eligible treatment at over 250 private hospitals in the UK, as well as the support you need to live life well.

You'll need a GP referral before you can use your AXA Health membership to see a specialist. You'll also need to do this for any children under 18 on your plan. You can use your own GP, or the AXA Health online GP service to get this.

Your authorisation number is the reference number we gave you when we authorised your treatment. This is often referred to as your claim number. It may look like ABC1234 or AXACLM123456. We may have given this to you by phone, by text or via a message in your online account.

Inpatient and day patient treatment: including diagnostic tests, operating-theatre costs, drugs and dressings, surgical appliances and fees for surgeons, anaesthetists and doctors at hospitals or day patient units listed in our directory.

If you want to see a private specialist, you're still advised to get a letter of referral from your GP. Whether you see a private specialist, with or without a GP referral, or are referred to an NHS specialist, your GP is not obliged to accept the specialist's recommendations.

You'll need a GP referral before you can use your AXA Health membership to see a specialist. You'll also need to do this for any children under 18 on your plan. You can use your own GP, or the AXA Health online GP service to get this.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232