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PERSONAL ACCIDENT CLAIM FORM AAR INSURANCE KENYA LIMITED GEORGE WILLIAMSON HOUSE, 4TH GONG, 2ND FLOOR, P.O. BOX 4176600100, TEL: 020 2895000/2715319 FAX: 020 2715328, EMAIL: info AAR.co.KE MESA PLAYBILL
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How to fill out aar medical claim form

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How to fill out aar medical claim form:

01
Start by gathering all necessary documents and information such as medical bills, receipts, insurance policy details, and any other relevant documents.
02
Begin filling out the form by providing your personal information, including your full name, address, contact information, and the policy number.
03
Next, provide details about the patient, including their name, date of birth, and relationship to the policyholder if applicable.
04
Specify the type of medical treatment or service received and provide a thorough description of the diagnosis or reason for the medical claim.
05
Clearly list the dates of service and the healthcare provider or facility where the treatment was received.
06
Include all relevant itemized medical bills, making sure to indicate the amount charged for each service.
07
If there are any other insurance policies that may provide coverage, disclose this information on the form.
08
Review the completed form for accuracy and ensure that all required information is included.
09
Attach all supporting documents such as itemized bills, receipts, medical reports, and any other relevant paperwork.
10
Sign and date the form before submitting it to the designated insurance provider.

Who needs aar medical claim form:

01
Individuals who have incurred medical expenses and are seeking reimbursement from their insurance provider.
02
Policyholders who have coverage for medical claims and wish to submit a reimbursement request.
03
Patients who have received medical treatment and services covered under their insurance policy.

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The AAR Medical Claim Form is a form used to submit medical claims to the Automobile Association of Rhodesia (AAR). It is used to obtain reimbursement for medical expenses incurred as a result of an accident or injury. The form includes fields for entering information about the claimant, details of the accident or injury, and medical expenses. The form must be completed and submitted to the AAR for processing.
The form should be completed and filed by a provider of health care services that is licensed to practice medicine in the state in which the services were rendered. The provider must be enrolled in the Arkansas Medicaid program to receive reimbursement for services.
The information required on an AAR medical claim form includes the claimant's name, address, date of birth, Social Security number, and contact information; the date and type of injury; details of medical treatment received; diagnoses and dates of any hospitalizations; and the medical provider's name, address, and contact information. Other information may also be required, depending on the specifics of the claim.
The penalty for late filing of an AAR medical claim form is a fine of up to $500.
Filling out an AAR (Accident and Sickness Reimbursement) medical claim form requires gathering and organizing the necessary information and following a few specific steps. Here is a step-by-step guide on filling out an AAR medical claim form: 1. Obtain the claim form: Generally, you can download the AAR medical claim form from the insurance provider's website. If not available online, contact your insurance company to request a copy. 2. Read the instructions: Before starting, carefully read the instructions provided with the claim form. Understanding the guidelines will help you accurately complete the form. 3. Personal information: Fill in your personal details at the beginning of the form, such as your full name, mailing address, contact information, policy number, and identification number (if applicable). 4. Date of service: Indicate the date(s) when the medical treatment or services were provided. It is essential to list the correct date(s) to ensure accurate processing. 5. Provider information: Provide details regarding the healthcare provider or facility. This includes the name, address, phone number, and specialty of the healthcare professional or institution where you received treatment. 6. Diagnosis and treatment: Write down the medical diagnosis or reason for seeking treatment. Additionally, briefly describe the type of treatment received, including any medications prescribed or procedures performed. 7. Itemize charges: In this section, itemize each charge separately. Include the date of service, services received, procedure codes, and the corresponding charges for each item. If you have multiple charges, attach additional sheets if necessary. 8. Insurance information and coordination of benefits: If you have other insurance coverage, provide the details of any other insurance policies you hold. This is important for AAR to coordinate benefits with other insurers if applicable. 9. Patient's signature and date: Sign and date the claim form, indicating your agreement that the information provided is accurate and complete to the best of your knowledge. 10. Supporting documents: Attach all supporting documentation required by the claim form. This may include itemized bills, receipts, physician statements, prescription receipts, and any other medical reports relevant to your claim. 11. Review and submission: Double-check the filled-out form for accuracy and make copies for your records. Submit the completed claim form, along with all supporting documents, to the address provided by your insurance provider. It is recommended to send it via certified mail or another trackable method to ensure delivery. It's always a good idea to keep copies of all documents submitted and maintain open communication with your insurance provider to track the progress of your claim.
The purpose of an AAR (Additional Authorized Representative) medical claim form is to authorize an individual, known as the AAR, to act as a representative for the insured person when submitting medical claims. This form allows the AAR to handle various tasks on behalf of the insured, such as filing claims, negotiating with insurance providers, and accessing medical records. It grants the AAR the authority to make decisions and communicate with health insurance companies regarding medical claims and related matters.
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