Get Return This Form With Original Invoices To: Bupa International, Russell House, Russell Mews

Completing the Return This Form With Original Invoices To: Bupa International, Russell House, Russell Mews is a crucial step in processing your medical claims efficiently. This guide provides clear, step-by-step instructions to help you fill out the form accurately, ensuring timely payment.

Follow the steps to complete your claim form online.

1. Use the ‘Get Form’ button to access the claim form. This will enable you to open the document in an editable format.
2. Complete the patient’s details section. Include the patient membership number, group name if applicable, full name, date of birth, and current correspondence address. Ensure clarity by writing in black ink and using block capitals.
3. Fill out the medical details section. This requires input from the medical practitioner. Include their name, address, qualifications, diagnosis, and detailed treatment information.
4. If applicable, indicate whether this is a cash benefit claim and ensure the required hospital stamp is obtained.
5. In the payment details section, select who should receive the payment. Choose between doctor/hospital, principal member, patient, or group, and complete the preferred payment method.
6. Sign the declaration section to confirm the accuracy of the information provided. If the patient is under 16, a parent or guardian must sign.
7. Review the entire form for completeness. Make sure all sections are filled out accurately to avoid delays in processing.
8. Save your changes, and proceed to download, print, share, or email the completed form and original invoices as required.

Ensure your claims are processed accurately and without delay by completing the documents online today.