Get Hsf Master Claim Form

Filling out the HSF Master Claim Form online can seem daunting, but with a step-by-step approach, you can complete it with ease. This guide will help you navigate each section of the form, ensuring you provide the necessary information for a successful claim.

Follow the steps to complete your claim form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the policyholder information section. Fill in your surname, forenames, address, postcode, daytime telephone, email, policy number, and employer details if contributions are deducted from pay or pension.
3. In the payment section, provide your bank or building society account details. Include the name of the account holder(s), account number, and sort code.
4. Answer all questions in the next section completely. Describe the diagnosis or symptoms, note when symptoms began, the first consultation date with a doctor, and whether the current illness is connected with a previous one.
5. Provide information regarding the patient, including surname, forenames, date of birth, and whether the policyholder is the patient, partner, or child under 18. If applicable, authorize the hospital or hospice to share admission and discharge dates with the HSF health plan.
6. For day case surgery or treatment claims, provide the necessary details about the hospital including the name, ward, and dates of stay, and ensure an authorized hospital official verifies this information.
7. List enclosed receipts in the section provided and select the nature of your claims, ensuring they meet all criteria specified, including original receipts and necessary details like practitioner’s stamp and patient information.
8. Sign and date the form, authorizing the HSF health plan to verify any claims with relevant practitioners if needed.
9. Before submitting, check the checklist to confirm that you have enclosed all receipts, signed the form, filled relevant sections, and provided your bank account information.
10. Finally, save any changes, and download, print, or share the completed form as necessary.

Complete your HSF Master Claim Form online today to ensure your claim is processed efficiently.