Get Pdf Kotak Health Premier - Claim Form - Part A - Kotak General Insurance

Filling out the Kotak Health Premier - Claim Form - Part A - Kotak General Insurance online is an essential step for users seeking to claim their health insurance benefits. This guide provides clear and detailed instructions on how to complete each section of the form accurately and efficiently.

Follow the steps to complete your claim form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, enter the details of the primary insured. Fill in the policy number, certificate number, TPA ID, name, address (including city, state, and pin code), phone number, and email ID in the required fields.
3. In Section B, provide details of your insurance history. Indicate if you currently have any other Mediclaim or health insurance by selecting ‘Yes’ or ‘No’. Enter the commencement date of your first insurance and details about prior coverage, if applicable.
4. In Section C, enter details about the insured person who was hospitalized. This includes their name, gender, age, date of birth, relationship to the primary insured, occupation, and any additional contact details.
5. In Section D, provide information about the hospitalization. Fill out the hospital's name, room category occupied, reason for hospitalization, dates of injury or disease detection, admission and discharge dates and times, and any details regarding a medico-legal case if applicable.
6. In Section E, detail the claim amounts you are requesting. Include treatment expenses such as pre-hospitalization, hospitalization, post-hospitalization costs, ambulance charges, and any other reimbursements or cash benefits being claimed.
7. Complete Section F by listing the details of bills enclosed, specifying the amounts for each relevant document.
8. In Section G, provide details of the primary insured’s bank account, including PAN, account number, bank name, cheque/DD payable details, and IFSC code.
9. Review Section H, which contains the declaration by the insured, and ensure all information is correct before signing and dating the form.
10. After completing all sections, save your changes, download the form for your records, and print or share it as necessary.

Start filling out your Kotak Health Premier Claim Form online today for a seamless claims process.