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  1. This form is only needed to submit claims for services and supplies that are not submitted by your provider (i.e., out-of-network doctors and hospitals). You must file your claim within one year from the date of service. You can submit your claim any time during the year.

  2. Requirement Checklist for Claims Submission. It is advisable to use this checklist as a guide on the documents required for submission of claim. A copy of this checklist is available from Customer/Agent Service Centre (Form Counter) or Servicing Branch or i-greatpartner.

  3. For HR managers and Members: to submit a claim on your Group Insurance policy, please download and complete the relevant forms below. Life claims. Medical claims. For detailed information on how to file a medical claim: Procedures to File a Medical Claim (PDF) Panel GP Listing.

  4. Submission of claims via i-Get In Touch (i-GIT) is still subjected to terms & condition of the certificate. Claims has the right to issue requirement for clarification or additional documents, request for re-submission or request to view the original document as and when required.

  5. ACCIDENTAL DEATH BENEFITS CLAIM 1. This form may be completed by the Police (if a report has been made or the accident is investigated) or by the hospital / doctor who attended to the emergency as result of the accident. 2. A Post Mortem or Autopsy report is required to be submitted with this claim. 3. Any costs incurred in completing this form ...

  6. The best way to file your claim is to submit it online at www.gbg.com. Log into the Member Portal, select “Medical Claim Form”, and follow the instructions to complete the online claim form. After submitting the claim, you will receive a claim reference number and an electronic receipt for the claim will be emailed to you.

  7. files.guidewell.com › m › 3c6d4152e471d332Medical Claim Form

    1. This form is only needed to submit claims for services and supplies that are not submitted by your. provider (i.e., out-of-network doctors and hospitals). You must file your claim within one year from. the date of service. You can submit your claim any time during the year. 2. Use a separate claim form for each family member and each ...

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