Get 300h 14098 E 09 09 Sunlife Financial Assignment Of Benefits

Filling out the 300h 14098 E 09 09 Sunlife Financial Assignment Of Benefits form is essential for ensuring that health care providers are compensated directly for eligible expenses. This guide will take you through each step of the form to simplify the process and guarantee that all necessary information is provided.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in your editing interface.
2. Complete the 'Information about you' section fully. Include your contract number, member ID number, last name, first name, address, and preferred language for correspondence (French or English). Make sure to fill in your date of birth and daytime phone number as well.
3. In the 'Assignment of Benefits to a Health Care Provider' section, this part must be completed by your health care provider. Ensure they fill in the date of service, provider name, practitioner’s name, and address. They should also provide their signature or stamp.
4. Move to the 'Details of Claim for Health Care Provider' section. Here, list all persons for whom you are claiming expenses, providing each individual's last name, first name, date of birth, and their relationship to you. Indicate if they are a full-time student or disabled, and fill out the amount claimed for each.
5. Complete the 'Assignment of Benefits, Authorization and Signature' section. Here you must assign your benefits to the named health care provider in this section. Ensure you provide your signature and the date.
6. Review all entries for accuracy. It is important that all information is correct and that all necessary receipts are attached. After reviewing, you can save changes, download, print, or share the form as needed.

Start filling out your 300h 14098 E 09 09 Sunlife Financial Assignment Of Benefits form online today for a smooth claims process.