Get Client Claim Form / Klint Eisvorm - Stratum Benefits

Filling out the Client Claim Form is essential for processing your claim effectively. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and confidently.

Follow the steps to complete the form swiftly and accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your profile information. In the 'Principal Insured Details' section, fill out all fields including title, first name, surname, and ID number, as these are compulsory for processing your claim.
3. Next, add your contact information including your cellphone, home phone, work phone, and email address. If the patient is different from the principal insured, indicate if they are the principal insured to skip redundant fields and proceed to fill in the patient details.
4. In the 'Your Claim Details' section, describe the medical event by listing the medical procedure, surgery, treatment, or investigation provided. Detail the admission or treatment date, and discharge date if applicable.
5. Address any discounts received from healthcare providers relating to this claim by providing their contact details if applicable. Ensure you note any additional payments due by your medical scheme to the healthcare provider.
6. Include the contact details of your general practitioner and treating or referring healthcare provider. This information is crucial for the processing of your claim.
7. In 'Your Claim Reimbursement Profile', specify if reimbursements should be deposited into the same account from which your policy premiums are deducted or provide alternative banking details. Ensure accuracy to prevent any issues with processing.
8. Sign and date the authorization and declaration acceptance at the end of the form. Confirm that all information provided is true and that you authorize your medical scheme and service providers to share necessary information with Stratum Benefits.
9. Once all sections are completed, save your changes to the form. You can then download, print, or share the filled-out form as needed.

Complete your Client Claim Form online today for prompt processing of your claims.