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Microsoft Word - Critical illness Claim Form 2014 part I. 香港中環德輔道中71號永安集團大廈九樓. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. 索償編號 ( 公司專用) Claim No. (for office use) 電話Tel:28670888. 傳真Fax:3906 9906. CRITICAL ILLNESS CLAIM FORM 危疾保障危疾保障危疾保障危疾保障 ...
GMD-CF2-2014-V03 團體醫療保險 Group Medical Insurance ---- 牙科索賠申請書牙科索賠申請書Dental Claim Form 投保單位 Policyholder Name ： 保單號碼 Policyholder Number ： 受保員工姓名 Name of Employee: 所屬部門 Department : 受保員工編號
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.
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.
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 ...
介信. , 介信有效期由簽 發日起計有效6個月(如適用),每次索償均需提交推薦信副本。 有關索償中醫、針灸及跌打師需提供醫師姓名及登記註冊編號,及中醫則需提交處 方正本。 以下情況以下情況以下情況以下情況,,索償申請將不獲辦理 索償申請將不獲辦理索償申請將不獲辦理索償申請將不獲辦理: 索償申請於診症/ 治療日90 天後遞交。 所需資料不足。
