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    Danny Castillo's dental claim for IDR 300,000 was denied because the benefit limit had been exceeded. The policy details a dental claim submitted by Danny Castillo under policy number AHA273367, issued to PT Amman Mineral Nusa Tenggara, for services received on February 13, 2023 from Catur Warga totaling IDR 300,000. However, the claim was not covered because the benefit limit for combined routine and restorative dental services had already been reached.

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    Danny Castillo's dental claim for IDR 300,000 was denied because the benefit limit had been exceeded. The policy details a dental claim submitted by Danny Castillo under policy number AHA273367, issued to PT Amman Mineral Nusa Tenggara, for services received on February 13, 2023 from Catur Warga totaling IDR 300,000. However, the claim was not covered because the benefit limit for combined routine and restorative dental services had already been reached.

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    © All Rights Reserved
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    5 views1 page

    Aetna Document

    Uploaded by

    Danny castillo
    Danny Castillo's dental claim for IDR 300,000 was denied because the benefit limit had been exceeded. The policy details a dental claim submitted by Danny Castillo under policy number AHA273367, issued to PT Amman Mineral Nusa Tenggara, for services received on February 13, 2023 from Catur Warga totaling IDR 300,000. However, the claim was not covered because the benefit limit for combined routine and restorative dental services had already been reached.

    Copyright:

    © All Rights Reserved
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    Aetna International®

    Danny Ignacio Castillo


    danny.i.castillo@gmail.com

    We regret to inform you that your claim as detailed below is not eligible for the reasons stated below.

    Policy No AHA273367

    Policy Holder PT Amman Mineral Nusa Tenggara


    Claimant Danny Ignacio Castillo
    Claim Ref 21324811
    Provider Invoice Catur Warga
    Date(s) of Service 13 Feb 2023 - 13 Feb 2023
    Amount Claimed IDR 300000.00

    Type of Service Claimed Amount Excess Covered Amount

    Combined Routine & IDR 300000.00 USD 0.00 IDR 0


    Restorative Dental

    Notes:
    The benefit limit that applies to these costs has been exceeded

    Aetna International® is a U.S. and European Union registered trademark of Aetna Inc. Aetna® is a trademark of Aetna Inc. and is protected throughout the world by trademark registrations and treaties.

    Policies issued in Hong Kong by Starr International Insurance(Asia) Limited and are administered by Aetna Global Benefits (Asia Pacific) Limited,an Aetna Company. Aetna Global Benefits (Asia Pacific)
    Limited registered address: Suite 401-403, Berkshire House,25 Westlands Road, Quarry Bay, Hong Kong.HKFI Insurance Agency Registration No. 02905813.

    Policies issued and underwritten by PT Asuransi Central Asia. Registered Address: Mall Ambassador Ruko 2 & 3, Jl. Prof. Dr. Satrio, Jakarta 12940, Indonesia.

    Policies issued in Singapore are issued by Aetna Insurance (Singapore) Pte. Ltd., registered address 112 Robinson Road,#09-01,Robinson 112, Singapore 068902, registration no. 201200834H. Aetna
    Insurance (Singapore) Pte. Ltd. is part of Aetna Inc.’s international department, Aetna International.

    Policies issued outside of mainland China, Hong Kong, Singapore and Indonesia but within Asia Pacific are issued by Aetna Insurance (Singapore) Pte. Ltd, registered Address 112 Robinson Road, #09-
    01, Robinson 112,Singapore 068902, Company Registration no. 201200834H or by Aetna Life & Casualty (Bermuda) Ltd. administered by Aetna Global Benefits (Asia Pacific) Limited, registered address
    Suite 401-403, Berkshire House, 25 Westlands Road, Quarry Bay, Hong Kong, HKFI Insurance Agency Registration No. 02905813.

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