Get Globalnet Claim Form

Filling out the GLOBALNET Claim Form online can seem daunting, but with the right guidance, you can complete it efficiently. This guide provides step-by-step instructions to ensure your claim submission process is smooth and successful.

Follow the steps to complete your claim form accurately.

1. Click ‘Get Form’ button to obtain the GLOBALNET Claim Form and open it in the respective editor.
2. Begin by entering the detail of the patient or member. Fill in your name, company name, pre-approval reference number, UB number, policy number, phone number, patient mobile number, and nationality in the corresponding fields.
3. In the medical section, provide the name and address of the hospital or clinic where treatment was received. Include the bill number, treatment date, description of services rendered, and the total amount charged.
4. If the treatment was done outside the UAE, indicate the currency used.
5. Review and complete the patient's declaration section. Confirm that you are the patient claiming the benefit and acknowledge that the information provided is true and correct by providing your signature and date.
6. Move to the employer's section. Indicate whether the case is work-related by ticking the appropriate box. Specify if necessary and indicate who is to collect the cheque (employer, employee, or other), along with their name.
7. Obtain a stamp and signature from the HR department or insurance coordinator to validate your claim.
8. Prepare and attach all essential documents as listed: the original bill or invoices, original prescription, investigation reports, medical report or discharge summary, and a copy of your passport if treatment was outside the UAE.
9. Check the claims submission periods: ensure your claim is submitted within 30 days for services within the UAE and within 60 days for services outside the UAE.
10. Finally, save any changes made to the form, and download, print, or share the completed form as necessary.

Complete your GLOBALNET Claim Form online today to ensure timely processing of your claim.