Get E Meditek Claim Form

Filling out the E Meditek Claim Form online can streamline the claim process for health insurance policies. This guide provides detailed steps to help you complete the form accurately and efficiently.

Follow the steps to complete your claim form with ease.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by filling out the particulars of the Principal Insured (Policy Holder). Ensure to include the name, policy number, address for communication, telephone number, mobile number, and email ID.
3. Provide the details of the Third Party Administrator (TPA). This includes the name of the TPA and the UHID number allotted by the TPA.
4. Next, enter the details of the Insured Member for whom the claim is preferred. This includes the name, relationship with the Principal Insured, date of birth, sex, and present occupation.
5. Fill out the hospitalization details such as the name and full address of the hospital or clinic, telephone number, date of admission, nature of disease or ailment, and dates related to diagnosis and any injuries.
6. Indicate if a surgical procedure is suggested by the attending doctor and provide detailed information regarding the procedure.
7. Review all the filled sections to ensure accuracy. Remember, any false statements may impact your claim.
8. Sign the form to warrant the truth of the particulars provided. This must be completed by the Principal Insured or Policy Holder.
9. Finally, save the changes made to the form. You may choose to download, print, or share the completed claim form as needed.

Complete the E Meditek Claim Form online today to start your claim process smoothly.