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1. |
Admission Request Note |
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2. |
Provider(Hospital on Panel)
Information Form |
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3. |
Claim Form |
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4. |
Specimen Copy of Agreement
between Safeway TPA Services Limited and Provider |
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5. |
Specimen Copy of Authorisation
Letter for Cashless Treatment |
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6. |
Specimen Copy of Additional
Information Required Letter |
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7. |
Specimen Copy of Cashless
Denial Letter |
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8. |
National Insurance Claim
Form |
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9 |
New India Insurance Claim
Form |
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10 |
Oriental Insurance Claim
Form |
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