Oman Insurance Claim Form : Today we will discuses about the Oman Insurance Claim Form.In today article, we will know what is Oman Insurance,how to Oman Insurance Claim,How to fill Oman Insurance Claim Form?,How to download Oman Insurance Claim Form?, So, you should read this article step by step you will know how to claim oman insurance,how to download oman insurance claim form.
Oman Insurance Claim Form
One Claim Form per person, family members must apply individually. Please refer to page 2 for instructions on how to fill the form. For the required supporting documentation, use the attached Summary Table as cover sheet. Before you submit, check your Table of Benefits in your policy document for exclusions to avoid rejections. Please submit the form within 30 days of treatment to ensure timely processing. Only original claim forms will be accepted as each form carries a unique form number.
Oman Insurance Claim Form Parts
First part of oman insurance claim form – If the talk about the first part of Oman Insurance claim form, then it comes to the Claimant Details in which you have to write the Claimant Name,Card Number,Email Address, and your Oman Insurance Registered mobile Number.
Secound part of oman insurance claim form – If the talk about the second part of Oman Insurance claim form, then it comes to the Principal Member Bank Details (in case not provided already or needs to be updated) in which you have to write the Account Name,Bank name,bank account no,branch details,and IBAN (23 Digits) number.
Third part of oman insurance claim form – If the talk about the third part of Oman Car insurance claim form, then it comes to the Claim Details in which you have to write the Is the claim in UAE?,Name of Hospital/Dr,Date of Treatment,Number of Invoices,Total Amount Claimed,and For breakdown of Total Amount Claimed, use attached summary table cover sheet to tabulate entries in chronological order.
Forth part of oman insurance claim form – If the talk about the third part of Oman Insurance claim form, then it comes to the Medical Details – to be completed by the treating Doctor in which you have to write the Is it work related?,Treatment Type,Chief Complaint,Diagnosis,Treatment Details,and l, the undersigned treating doctor, hereby declare I have attended to this patient and the particulars provided are correct and accurate to the best of my knowledge. as well as Stamp,Signature and date.
Fifth part of oman insurance claim form – If the talk about the third part of Oman Insurance claim form, then it comes to the Claimant’s Declaration & Authorization in which you have to write the I confirm that all particulars filled are true, accurate and complete. I hereby authorize (i) the medical provider/other entities to provide & discuss health/treatment details with Oman Insurance Company (‘Insurer’) and/or its third party administrator (ii) the Insurer to (a) disclose my personal/claim information for claim processing or as may be required (b) to use alternate claim payout option if required (iii) contact me for claim/other products information. I understand that (i) any person, who intentionally conceals, makes false or misleading statement to obtain claim reimbursement, is subject to penalization and legal action (ii) acceptance of claim form does not constitute acceptance of liability by the Insurer (iii) my claim is subject to terms and conditions of my policy. This authorization shall remain valid notwithstanding death or incapacity. A photocopy or facsimile copy of this authorization shall be as valid as the original.As well as Claimant Name,Signature, and date.
How to Complete the Form Healthcare Insurance
Oman Insurance is the actually healthcare insurance. Both you and the attending doctor must fill in the claim form for each
individual visit or course of treatment. Please look at the below definitions to understand who is Principal member, Dependant and Claimant.
- Principal Member is the insured employee under the policy.
- Dependant refers to Principal Member’s spouse or children.
- Claimant is the person undertaking the treatment.
Principal Member: Please fill section 2 : Enter the bank details including the IBAN of the account where we can transfer the settled claim amount for you or your dependant.
Claimant: Please fill section 1, 3 & 5 : Fill in your name and card number. Give us your contact details so we can keep you informed on the progress of your claim by SMS or e-mail.
>Include the breakdown of expenses that need reimbursement.Complete the summary table on the next page giving the full
required details. Each invoice detail should be on a separate line.
>Read the Declaration section carefully and remember to sign and date the form.
Doctor: Please fill section 4 : Please ensure that the doctor completes each question of the Medical section in full and then signs and stamps it.
Send your claim to:
Medical Claims Department
Oman Insurance Company
Level 3, Al Rigga Business Centre,
Al Rigga Street, Deira
PO 5209, Dubai, UAE
Tel: +971 4 230 2700
Oman insurance Claim Processing
Your claim will be assessed in full confidentiality by one of our personal advisers. If OIC has received all required documents and information, you will receive within 15 working days the reimbursement in UAE Dirham along with a claim report and explanations in the case of declined amounts. It is preferable and recommended for the reimbursement claim form to be submitted within thirty (30) days of the original claim knowing that claims submitted after ninety (90) days of treatment shall not be accepted.
Oman Insurance enquirers, contact us
>800 4746
>UAE Toll Free 8am till 8pm Sunday to Thursday, 8am till 4pm on Saturday
>Fax: +971 (0) 4 238 4769
>Email : [email protected]
Oman Insurance Claim Form Download
To download a Oman Insurance Claim form, please visit our website www.tameen.ae
Oman Insurance is the actually healthcare insurance. Both you and the attending doctor must fill in the claim form for each
individual visit or course of treatment. Please look at the below definitions to understand who is Principal member, dependant and Claimant.
Principal Member is the insured employee under the policy.
Dependant refers to Principal Member’s spouse or children.
Claimant is the person undertaking the treatment.
Principal Member: Please fill section 2 : Enter the bank details including the IBAN of the account where we can transfer the settled claim amount for you or your dependant.
Claimant: Please fill section 1, 3 & 5 : Fill in your name and card number. Give us your contact details so we can keep you informed on the progress of your claim by SMS or e-mail.
>Include the breakdown of expenses that need reimbursement.Complete the summary table on the next page giving the full
required details. Each invoice detail should be on a separate line.
>Read the Declaration section carefully and remember to sign and date the form.
Doctor: Please fill section 4 : Please ensure that the doctor completes each question of the Medical section in full and then signs and stamps it.
SEND YOUR CLAIM TO:
Medical Claims Department
Oman Insurance Company
Level 3, Al Rigga Business Centre,
Al Rigga Street, Deira
PO 5209, Dubai, UAE
Tel: +971 4 230 2700
Your claim will be assessed in full confidentiality by one of our personal advisers. If OIC has received all required documents and information, you will receive within 15 working days the reimbursement in UAE Dirham along with a claim report and explanations in the case of declined amounts. It is preferable and recommended for the reimbursement claim form to be submitted within thirty (30) days of the original claim knowing that claims submitted after ninety (90) days of treatment shall not be accepted.
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