This card is only for identification and is not an authorization to proceed with

the treatment or a guarantee for payment.

In the case of photoless identity cards issued to beneficiaries, acceptable proof
of identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters
Beneficiary name: Sudhanshu Gupta ID Card / PAN Card should be presented at hospitals.
Member ID: 5100282709 This non-transferable identification card is valid at selected Network Hospitals
& will enable Card Holder to avail cashless hospitalization only on the basis of
Employee code: 90905 preauthorization by Medi Assist.
For the latest updated Network hospital list, login to www.mediassist.in
Relation: Self
Date of birth: 13 Nov 1995
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED.
Primary insured: Sudhanshu Gupta Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,
Valid upto: 30 Sep 2024 Karnataka 560029.CIN: U85199KA1999PTC025676
Website: mediassisttpa.in Email: ibacare@mediassist.in
Policy holder: Indian Bank_IBA
Insurer ID: --

Generated On : 13-02-2024 14:59:48

Contact number: 04068213601

This card is only for identification and is not an authorization to proceed with
the treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable proof
of identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters
Beneficiary name: Meena Gupta ID Card / PAN Card should be presented at hospitals.
Member ID: 5100282708 This non-transferable identification card is valid at selected Network Hospitals
& will enable Card Holder to avail cashless hospitalization only on the basis of
Employee code: 90905 preauthorization by Medi Assist.
For the latest updated Network hospital list, login to www.mediassist.in
Relation: Mother
Date of birth: 15 Jul 1967 MEDI ASSIST INSURANCE TPA PRIVATE LIMITED.
Primary insured: Sudhanshu Gupta Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,
Valid upto: 30 Sep 2024 Karnataka 560029.CIN: U85199KA1999PTC025676
Website: mediassisttpa.in Email: ibacare@mediassist.in
Policy holder: Indian Bank_IBA
Insurer ID: --

Generated On : 13-02-2024 14:59:48

Contact number: 04068213601

This card is only for identification and is not an authorization to proceed with
the treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable proof
of identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters
Beneficiary name: Awadhesh Kumar Gupta ID Card / PAN Card should be presented at hospitals.
Member ID: 5100530011 This non-transferable identification card is valid at selected Network Hospitals
& will enable Card Holder to avail cashless hospitalization only on the basis of
Employee code: 90905 preauthorization by Medi Assist.
For the latest updated Network hospital list, login to www.mediassist.in
Relation: Father
Date of birth: 14 Feb 1962
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED.
Primary insured: Sudhanshu Gupta Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,
Valid upto: 30 Sep 2024 Karnataka 560029.CIN: U85199KA1999PTC025676
Website: mediassisttpa.in Email: ibacare@mediassist.in
Policy holder: Indian Bank_IBA
Insurer ID: --

Generated On : 13-02-2024 14:59:48

Contact number: 04068213601