National Insurance Claim Form Part B
Signature and seal of the hospital authority hospital insured hospital f g d m y y d m y. You can know about intimation of claim to the national insurance company tpa third party administrator national health insurance claim procedure to avail cashless facility national health insurance claim procedure for reimbursement of claims and documents required during claim settlement. Theory Of Architecture B ip registration number enter insurance provider registration number as allotted by the insurance provider c gender indicate gender of the patient tick male or female d age enter age of the patient number of. National insurance claim form part b . C name of the treating doctor. Claim form part b. I also consent authorize tpa insurance company to seek necessary. The signature of the insured is taken on this form after claim form b is fully filled up by us. Guidance for filling claim form part a to be filled in by the insured data element description format section a details of