Get Ebc001-1409hosp Claim Formnew Pics2 Tick Box V1indd - Axa

Filling out the EBC001-1409Hosp Claim Form can be a straightforward process with the right guidance. This document serves as a helpful resource for individuals seeking to accurately complete their hospitalisation and surgical claims for AXA services.

Follow the steps to successfully complete your claim form online.

1. Click the ‘Get Form’ button to obtain the claim form and open it in the editing tool.
2. Begin with Part 1 of the form, which needs to be filled out by the patient. Provide the patient's full name, policy number, patient’s HKID card number, occupation, and date of birth. Make sure to fill out the relationship with the employee, indicating whether they are a spouse or a child.
3. Next, answer the questions regarding prior treatments for the current condition and indicate if you are making any other insurance claims related to this hospitalisation. You will need to provide additional details for follow-up questions if applicable.
4. Move on to complete the section for doctor's information. This requires the doctor's name, consultation dates, and address. Specify any other insurance details if claims are being made under different policies.
5. In the final steps, ensure you return the original receipt with the completed claim form. Attach a copy of the claim form along with any necessary receipts or documents required as indicated.
6. Before submitting the form, review all information for accuracy. Once finalized, users can save changes, download the form, print a copy, or share it as necessary.

Start completing your AXA claim form online today!