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  • BK 036

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    Sant Agrawal
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    This letter requests reimbursement from an insurance company for out of pocket medical expenses. It provides the sender's member number and group number, encloses receipts totaling a specified amount, and requests that a check for that amount be sent to reimburse the costs incurred by the sender.

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    BK_036.DOC

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    This letter requests reimbursement from an insurance company for out of pocket medical expenses. It provides the sender's member number and group number, encloses receipts totaling a specified amount, and requests that a check for that amount be sent to reimburse the costs incurred by the sender.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    BK 036

    Uploaded by

    Sant Agrawal
    This letter requests reimbursement from an insurance company for out of pocket medical expenses. It provides the sender's member number and group number, encloses receipts totaling a specified amount, and requests that a check for that amount be sent to reimburse the costs incurred by the sender.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    This letter requests reimbursement from your insurance

    company for costs incurred by you.

    12, Main Street


    Kerala

    05 April, 2005

    <Recipient Address Goes Here>

    Hello,

    Re: Member No. <Member number>


    Group No. <Group number>

    Enclosed please find <a receipt/receipts> for <nature of receipts>. I


    would appreciate it if you would please send me a cheque for
    <$amount> to reimburse me for these out of pocket expenses.

    Thank you for your attention to this request. If you have any questions
    about any of these items, please do not hesitate to contact me.

    Regards,

    Chandra

    encl: <List of enclosed items goes here>

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