Get Download Bharti Axa Health Claim Form - Insure At Click

Filling out the Bharti AXA health claim form is an essential step in ensuring you receive your entitled benefits. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the health claim form.

1. Click the ‘Get Form’ button to obtain the Bharti AXA health claim form and open it in your preferred document editor.
2. Start by entering your policy number and claim number at the top of the form. Ensure that these numbers are correct to avoid delays in processing your claim.
3. Fill in the insured details, including the name, address, city, pin code, state, and contact numbers of the insured individual. Ensure to provide both residence and mobile numbers for effective communication.
4. Complete the patient details section by entering the patient's name, gender, relationship with the insured, and date of birth.
5. Specify the claim details. Indicate the type of claim (hospitalization, domiciliary hospitalization, hospital cash, etc.) along with the dates of admission and discharge, and provide the name and address of the hospital.
6. Detail any illness or disease affecting the patient. You are required to provide the nature of the illness, date symptoms were first noticed, and any accident details if applicable.
7. If applicable, list previous claims under any other health insurance policies, including the name and address of the insurance company, policy number, and other relevant information.
8. Provide a breakdown of the claim amount, specifying amounts related to hospitalization, post-hospitalization, or critical illness, along with any supporting documentation.
9. Ensure you include all required documents as specified in the list on the form. Common documents may include discharge summaries, FIRs (if applicable), medical reports, and bills.
10. Sign and date the form, ensuring you have completed all sections. Review the form for accuracy before submission.
11. After filling out the form, save your changes, download, print, or share the completed form as necessary.

Complete your documents online and ensure your health claims are processed smoothly.