Submit Claim

Submit Claim

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National ID Number
*
Member Name
*
Contact Number
*
Email Address
*
HR Email ID
Insurance Company
*
Country of Treatment
*
Claimed Currency
*
Claimed Amount
*
Claim Reference Number
Treatment Date
*
Upload Attachment
*
Upload Attachment
Upload Attachment
Note:
The file size should not exceed 8 MB
It is mandatory to submit original claims and supporting documents to the insurance company for processing payment
Security Code
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Items marked with * are required