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  1. 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 ...

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  3. nstructions. Subm mit claim form with orig ginal receipt(s), referraal letter (if applicable) a and all supporting docu uments to the Insu rance Company. Claim ms must be submitted tto the Insurance Comp pany within 90 days fro om incurred date / con nsultation. Receipt(s) will w not be returned unleess requested.

  4. GMD 投保單位 Policyholde 受保員工姓 Name of E 索償人姓名 Name of C 個人醫療 individual 口在我的 敬請注意 編號,將 to the p 須由應診 牙科診治或 序號 No. 1 2 3 請於右圖註 Please ma oral treatm 授權 本人現授權 提供本人或 用。本授權 聲明

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  7. bC 30:² £ ýY'aS ãaSf ãYâ1è ã fR! # #r! ~ b( p»&ï# #¹ Õb(fn&À fR6±eø! # 3x C6Ô b1¾6Ô b+^, ó ._0m<i ã _Em\o5A#rEm; YÀb¬p» @b+ 7à6±e aSEê fRLÊ\ óDÐ ä6Ô30:²6 ó/ # 6ÔQ¯; 6Ô6±#´Jñ4ð"C ä! P 5 ! 2 ã6Ô bP 5 ²_ 1è( 'Ù ó\o5A&ï, FÇ+ @ÉYÃp»6Ô b ...