Get Nib Pre Approval Form

Filling out the Nib Pre Approval Form online can streamline your health claims process. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Nib Pre Approval Form online.

1. Click ‘Get Form’ button to obtain the Nib Pre Approval Form and open it in your preferred editor.
2. Fill out section 1.0 regarding your policy. Include your policy number and contact details such as your name, address, phone numbers, and email.
3. Indicate the type of health claim you are making by ticking one of the applicable boxes in section 1.1. Ensure you have completed the relevant sections based on your selected claim type.
4. In section 2.0, provide details about the patient, including their name, date of birth, proposed treatment or operation, and the proposed date of the procedure. If applicable, note if there is other insurance coverage.
5. Complete section 3.0 by detailing the pre-approval costs. List each provider or service and their associated costs, along with the total procedure cost. Ensure you attach any relevant quotes.
6. Fill out section 3.1, which requires a medical report. Provide your doctor's details and answer questions regarding previous consultations and the underlying health condition. Ensure all necessary referral letters are attached.
7. In section 4.0, input details about the refund, including the name of the provider, date of treatment, and the reason for the service provided.
8. Then, complete section 5.0 with your bank account details for refunds, including the name on the account and the account number.
9. Finally, review and complete section 6.0, signing and dating where required. Ensure all information is accurate and that you have completed all relevant sections.
10. After filling out the form, you may save your changes, download a copy for your records, print the completed form, or share it as needed.

Complete your Nib Pre Approval Form online today to expedite your health claims process.