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  • Ericson Insurance TPA Pvt. LTD

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    shampa dattasikder
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    This document contains instructions for an insurance identification card holder. It states that the card is only for identification and not authorization for treatment or guarantee of payment. It also notes that additional proof of identity may be required and that the card is only valid at network hospitals with preauthorization from the insurance TPA. All claims are subject to the terms of the policy. It provides contact information for the insurance TPA and instructions to check their website for updated lists of network hospitals.

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    This document contains instructions for an insurance identification card holder. It states that the card is only for identification and not authorization for treatment or guarantee of payment. It also notes that additional proof of identity may be required and that the card is only valid at network hospitals with preauthorization from the insurance TPA. All claims are subject to the terms of the policy. It provides contact information for the insurance TPA and instructions to check their website for updated lists of network hospitals.

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    © All Rights Reserved
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    18 views1 page

    Ericson Insurance TPA Pvt. LTD

    Uploaded by

    shampa dattasikder
    This document contains instructions for an insurance identification card holder. It states that the card is only for identification and not authorization for treatment or guarantee of payment. It also notes that additional proof of identity may be required and that the card is only valid at network hospitals with preauthorization from the insurance TPA. All claims are subject to the terms of the policy. It provides contact information for the insurance TPA and instructions to check their website for updated lists of network hospitals.

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    © All Rights Reserved
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    of 1

    INSTRUCTIONS

    National Insurance Co. Ltd.


    1. This card is only for identification and is not an authorization to proceed with the
    treatment or a guarantee for payment.
    BANK OF BARODA-EMPLOYEE
    2. In case of photoless identity cards issued to beneficiaries, others acceptable proof of
    Name : Shampa Datta identity such as : Unique ID Card / Passport / Driver's License / Ration Card / Voter's ID
    Card / PAN Card / should be presented at hospitals. Subject to the terms & conditions of
    Age : 47 Yrs EmpCode: 74358
    the underlying insurance policy.
    Relation : Wife 3. This non-transferable identification card is valid at network hospitals only.
    4. The Card will be enable you to avail cashless hospitalization only on the basis of
    UHID : NIER 4095014 preauthorization by Ericson TPA.
    5. All preauthorization and/or settlement of claim is subject to the terms and conditions
    Gender : F
    of the relevant policy.
    Policy No. : 251100502310000171 6. For the latest updated hospital list, login to www.ericsontpa.com

    Valid From : 01-10-2023 Valid Upto: 30-09-2024 Ericson Insurance TPA Pvt. Ltd.
    11-C, 2nd Floor, Corporate Park, Sion Trombay Road, Chembur,
    Ericson Insurance TPA Pvt. Ltd. Mumbai-400071. Tel: 022-25280280 * Fax: 022-25270200
    Toll Free No.: 1800 202 2034.
    An ISO 9001:2015 Certified Organisation E-mail: care@ericsontpa.com * Website: www.ericsontpa.com

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