Get Claim Form Allianz Worldwide Care - Bwindowsb

Completing the Claim Form Allianz Worldwide Care - BWindowsb online is a crucial step in ensuring your medical claims are processed efficiently. This guide provides clear instructions on filling out each section of the form to help you avoid common pitfalls and expedite your claims process.

Follow the steps to successfully complete your claim form.

1. Click ‘Get Form’ button to obtain the claim form and open it for filling out.
2. Begin by entering your policyholder details. Include your insurance number, title, surname, first name(s), correspondence address, and contact numbers (daytime and evening). Also, provide a fax number and email address.
3. Next, fill in the patient details. Record the patient's title, surname, first name(s), and date of birth in the specified format (dd/mm/yy). Indicate if the claim is related to an accident by selecting 'Yes' or 'No.'
4. In the payment details section, choose your preferred payment method. Option 1 includes payment to the policyholder or insured; you may select the invoice currency and preferred payment method (cheque or bank transfer). If opting for a bank transfer, ensure you fill in the necessary bank details.
5. Alternatively, you can select Option 2 for direct billing to the medical service provider, ticking the box if you have prior agreement with Allianz Worldwide Care.
6. Proceed to the patient signature section. The patient must sign the form, affirming that the information provided is accurate and complete, and authorize the release of medical records if necessary. Enter the date of signing.
7. Sections 5 and 6 are to be completed by the treating doctor in BLOCK CAPITALS unless the invoices already contain diagnosis details. Section 5 requires the medical provider's information, including their name, qualifications, hospital/clinic name, address, and contact details.
8. In Section 6, the treating doctor must provide information about the treatment, including whether a Treatment Guarantee was obtained, the type of treatment and condition, and relevant dates. Additional details are required for physiotherapy, psychotherapy, or dental claims.
9. Finally, review all entered information for accuracy. Save changes to the form, and download, print, or share it as needed. Ensure you attach all relevant original invoices, as photocopies cannot be accepted.

Complete your Claim Form Allianz Worldwide Care - BWindowsb online to expedite your claim processing.