Follow the steps to correctly fill out your Leistungsauftrag

1. Click 'Get Form' button to obtain the form. Open it in your preferred PDF editor.
2. Enter your insurance number at the top of the form where indicated. This is important for processing your claim.
3. Provide your personal details: Name, Address, IBAN, Postal Code/City, BIC, and contact numbers. Ensure that all contact information is accurate, as it is essential for correspondence regarding your claim.
4. Select the type of costs you are submitting and specify the amounts in the corresponding fields. Be sure to include accurate costs for each category: outpatient, inpatient, dental, and others.
5. If you have incurred costs during a foreign stay, indicate the exact period of your stay. This information is crucial for claims related to foreign medical services.
6. If applicable, indicate whether you have additional travel health insurance or other coverage while abroad. Provide the name of the insurance company and your policy or membership number if applicable.
7. Organize and sort your receipts as per the order you entered them on the form, without attaching them with glue. This aids in the processing of your claim.
8. Review all your entries for accuracy and completeness before saving. Make any necessary adjustments.
9. Once you are satisfied with the information you have provided, save your changes, download the completed form, print it if necessary, and share it with the relevant department to submit your claim.

Start filling out your Barmenia Leistungsauftrag Pdf online today to ensure a smooth claims process.