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Appendix IIIAnnexure MISGUIDANCE FOR FILLING CLAIM FORM PART B (To be filled in by the hospital) DATA ELEMENTDESCRIPTIONFORMATSECTION A DETAILS OF HOSPITAL a)Name of HospitalEnter the name of hospitalize

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How to fill out guidance for filling claim

01

Step 1: Gather all necessary documents and information related to your claim, such as receipts, invoices, or proof of purchase.

02

Step 2: Carefully read the instructions on the claim form to understand what information needs to be provided.

03

Step 3: Fill out your personal details accurately, including your full name, address, and contact information.

04

Step 4: Provide a detailed description of the incident or reason for your claim. Be clear and concise in explaining the circumstances.

05

Step 5: Attach any supporting documents that are required to validate your claim. This may include photographs, police reports, or medical records.

06

Step 6: Double-check all the information you have entered before submitting the claim form to avoid any errors or missing details.

07

Step 7: Submit the claim form along with all the necessary documents through the specified channel, such as online submission or mailing it to the appropriate address.

08

Step 8: Keep a copy of the completed claim form and all supporting documents for your records.

09

Step 9: Follow up with the relevant department or insurance company to ensure that your claim is being processed and to address any further requirements or queries.

Who needs guidance for filling claim?

01

Anyone who has a valid claim and seeks compensation or reimbursement for a particular incident or loss.

02

Individuals who have experienced property damage, theft, accidents, medical emergencies, or other covered events.

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