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  1. Insurer/TPA or anywhere else. If declarations are found untrue, entire amount shall be recoverable from me (Insured). 1.Customer to handwrite "CLAIM FOR LIBERTY INSURANCE" on every page of claim documents and put signature on. (Every document except claim form and cancelled cheque)

  2. 15/5 Mathura Road Faridabad (India). Phone: 91-0129-2250000. Search Proposal. RakshaTPA No. Assured Name. Diagnostic Center Name. Proposal No.

  3. Raksha Health Insurance TPA Pvt. Ltd. ISO 9001:2008 & 27001:2013 Certified Company

  4. Raksha Health Insurance TPA Pvt. Ltd. ISO 9001:2015 & 27001:2013 Certified Company

  5. or concealent of any material fact with respect to questions asked in relation to this claim, my right to claim reimbrusement shall be forfeited, I also consent & authorize TPA / Insurance Company, to seek necessary medical information / documents from any hospital / Medical Practitioner who has attended on the person against whom this claim is made.

  6. In case the Insurer / TPA is not liable to settle the hospital bill, I undertake to settle the bill as per the terms and. conditions of the policy. c . amounts over & above the limit authorized by the Insurer/T.P.A not governed by the terms and conditions of the policy will be paid by me.

  7. Raksha Health Insurance TPA Pvt.Ltd. Access to electronic resources at Raksha Health Insurance TPA Pvt.Ltd. is restricted to employees, insurance companies, customers, hospitals, or individuals authorized by Raksha Health Insurance TPA Pvt.Ltd.. Use of this system is subject to all policies and procedures set forth by Raksha Health Insurance ...

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