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OUT OF PROVINCE CLAIM INFORMATION FORM 644 MAIN ST PO BOX 220 MONCTON NB E1C 8L3FOR ALL INQUIRIES: TEL 18006674511 FAX: 5068674125PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING CLAIM FORM:

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How to fill out out of province claim

01

To fill out an out of province claim, follow these steps:

02

Obtain an out of province claim form from your insurance provider.

03

Fill in your personal information, including your name, address, and insurance policy number.

04

Provide details about the healthcare service you received out of province, including the date, location, and reasons for the visit.

05

Attach any supporting documents, such as medical records, receipts, or invoices.

06

Submit the completed claim form and supporting documents to your insurance provider.

07

Wait for the processing of your claim and reimbursement of any eligible expenses.

Who needs out of province claim?

01

Anyone who receives healthcare services outside of their home province or territory may need to file an out of province claim. This includes individuals who are traveling, studying, working, or temporarily residing in a different province or country.

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What is out of province claim?

An out of province claim is a claim for medical services provided to individuals outside of their home province.

Who is required to file out of province claim?

Individuals who receive medical services outside of their home province are required to file an out of province claim.

How to fill out out of province claim?

To fill out an out of province claim, individuals must provide details of the medical services received, along with any supporting documentation such as receipts and invoices.

What is the purpose of out of province claim?

The purpose of an out of province claim is to seek reimbursement for medical services received outside of one's home province.

What information must be reported on out of province claim?

Information such as the date of service, the name of the healthcare provider, the type of service provided, and the cost of the service must be reported on an out of province claim.

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