Get Sg Aetna International Claim Form 2012-2025

This guide provides clear and supportive instructions on how to fill out the SG Aetna International Claim Form online. By following these steps, users can ensure that all necessary information is accurately submitted for a successful claim.

Follow the steps to complete the SG Aetna International Claim Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the member information section. This includes entering your policy name, full name, date of birth, street address, city, country, telephone number, email address, policy number, and member identification number.
3. Fill out the patient information section. Provide the patient's full name, date of birth, gender, and their Aetna identification number. Indicate the relationship of the patient to the member, whether self, spouse, child, or other.
4. In the other health insurance coverage section, indicate if you have any additional insurance. If yes, provide the name of the other carrier, policy number, and policy holder's name.
5. Detail the claim information. Include dates of services, descriptions of the providers, and any applicable diagnosis. For services related to injuries, provide accident details, and for prescribed medications, include the prescription.
6. Complete the summary of payment details. Choose your reimbursement option, preferred payment method, and provide bank details if necessary.
7. Fill out the declaration section by signing and dating the form. Ensure that the declaration is completed by the appropriate party, especially if the patient is under 18.
8. Review the completed form for accuracy and save your changes. You can then download, print, or share the form as needed.

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