Get Kotak Health Care - Claim Form Part A.cdr

Filling out an online claim form can seem daunting, but this guide will help you navigate the Kotak Health Care - Claim Form Part A easily and efficiently. The step-by-step instructions below will ensure that you provide all necessary information accurately.

Follow the steps to successfully complete your claim form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the 'Details of Primary Insured' section, fill in your policy number, certificate number, and TPA ID number. Use block letters for clarity.
3. Enter your full name, including surname, first name, and any middle name, followed by your complete postal address including city, state, phone number, and email ID.
4. In the 'Details of Insurance History' section, indicate if you are currently covered by any other health insurance. Provide the date of commencement of your first insurance policy without breaks.
5. Answer the questions related to past hospitalizations and previous insurance coverage truthfully. Specify relevant details when prompted.
6. In 'Details of Insured Person Hospitalised', enter the name, gender, age, date of birth, occupation, and relationship to the primary insured for the person being claimed.
7. Fill out the 'Details of Hospitalisation' section by providing the name of the hospital, the room category occupied, and relevant dates related to the hospital visit.
8. Provide details of treatment expenses claimed, including pre-hospitalization, hospitalization, post-hospitalization, and any other costs. Sum these amounts clearly.
9. List the bills enclosed with their corresponding amounts and ensure all necessary claim documents are printed and attached.
10. Complete the 'Details of Primary Insured’s Bank Account' including PAN, account number, bank name, and IFSC code necessary for the claims process.
11. Read the Declaration by Insured section carefully, enter the date and place, and sign once you have confirmed all information is accurate.
12. Finally, review the entire form for accuracy and completeness. Once satisfied, save changes, download, print, or share the form as needed.

Complete your Kotak Health Care claim form online today to ensure a smooth claims process.