Get Medical Claim Form - Bphyathai2hospitalbbcomb

Filing a medical claim can be a vital step in accessing the benefits of your health insurance. This guide provides clear instructions on how to effectively complete the MEDICAL CLAIM FORM - Bphyathai2hospitalbbcomb online, ensuring a smooth submission process.

Follow the steps to complete your medical claim form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In Section A, complete details about the insured member. This includes entering the policy number, name, sex, passport number, marital status, occupation, and date of birth. Make sure to provide accurate information.
3. If the claim pertains to someone other than the insured member, fill out the patient’s information in the specified sections, including their sex, passport number, marital status, occupation, and date of birth.
4. Provide the present home address along with the town, city, country, postcode/zip code, email address, and both work and home contact numbers.
5. For the nature of the illness or injury, indicate whether it is a sickness or accident, and provide a detailed description of the condition. Include as much information as possible for clarity.
6. Specify the first date the patient was treated for the illness or injury. If there are multiple treatments, complete the necessary sections with each date.
7. Tick your preferred settlement option. Choose between a bank cheque, demand draft, or telegraphic fund transfer, and provide any required details such as bank information.
8. In the declaration and authorization section, ensure the patient or legal guardian signs and dates the form, confirming the accuracy of all provided information.
9. Complete Section B by having the attending physician or surgeon fill out the related fields. They will need to provide information on final diagnosis, treatment undertaken, and their signature.
10. Once all sections are complete, save any changes made, and download or print the completed form for your records. Ensure to attach all original medical bills before submission.

Begin filling out your MEDICAL CLAIM FORM online to ensure you receive your entitled benefits.