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牙醫簽署及診所印章 Signature of Dentist and Clinic Chop 簽署日期 Date Signed 請提供銀行自動轉帳戶口號碼及電郵地址作理賠賠款之用。指定之銀行自動轉帳戶口號碼及電郵地址將適用於以後的理賠，特別註明除外。 Please provide bank autopay ...
Claim(s) submitted after 90 days date of consultation / visit. Insufficient of required information. Please send this completed claim form with attachment(s) to: Bank of China Group Insurance Co. Ltd. – Medical Insurance Dept. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. Tel : 2867 0888 Fax : 3906 9906 Website : www.bocgroup.com ...
No reimbursement of outpatient claims if: Claim(s) submitted after 90 days date of consultation / visit. Insufficient of required information. Please send this completed claim form with attachment(s) to: Bank of China Group Insurance Co. Ltd. – Medical Insurance Dept. 9/F., Wing On House,71 Des Voeux Road Central, Hong Kong.
牙醫簽署及診所印章 Signature of Dentist and Clinic Chop 簽署日期 Date Signed 授權 本人現授權任何西醫、醫院、診所、保險公司及其他人士，均可向中銀集團保險有限公司提供本人或本人家屬 之健康情況、傷病資料及病趜記錄，作為審核有關醫療保險索賠之 ...
No reimbursement of outpatient claims if: Claim(s) submitted after 90 days from the date of consultation / visit. Insufficient of required information. Please send this completed claim form with attachment(s) to: Bank of China Group Insurance Co. Ltd. – Medical Insurance Dept. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong.
電郵地址 Email Address 投保人 Insured -- --授權 本人現授權任何西醫、醫院、診所、保險公司及其他人士，均可向中銀集團保險有限公司提供本人或本人家屬之健康情況、傷病資料及病歷記錄，作為審核有關醫療保險索賠之用。本授權書之影印本與正本
電話Tel:28670888傳真Fax:3906 9906. HOSPITALISATION & SURGICAL CLAIM FORM 住院及手術索賠申請書住院及手術索賠申請書住院及手術索賠申請書住院及手術索賠申請書. Please complete and sign this claim form and make sure the original copies of invoices and receipts are attached 請填妥本申請書及簽署後 ...
