Can I read Health Insurance Claim Form Part A on EtoBox?

Health Insurance Claim Form Part A by Mayuresh Dalvi is a document available to read on EtoBox.

What is Health Insurance Claim Form Part A about?

This 3 sentence summary provides the essential details from the health insurance claim form: The claim form is for Sayali Rohit Sakhawalkar who was admitted to Jeevan-Jyot Hospital in Maharashtra from March 27th to 28th, 2020 for illness. The total claim amount being submitted is Rs. 8634 which includes hospitalization expenses of Rs. 4000, pharmacy bills of Rs. 538, and other medical charges. The insured is requesting the claim amount be deposited into his ICICI bank account provided in section G.

Author

Mayuresh Dalvi

Language

EN