Search results
Health Administration Team : *A - Wing 2nd Floor, Bajaj Finserv Building, Behind Weikfield IT Park, Off Nagar Road, Viman Nagar | Pune - 411 014 Phone No.: 020-30305858/ 1800-103-2529 Fax: 020-30512224/ 6/ 7 | Email: preauth@bajajallianz.co.in (To be filled in block letters) CASHLESS FORM.
Approach any of the Bajaj Allianz Network Hospitals for complete cashless facility; The hospital will verify your details and send the duly filled pre-authorization form to Bajaj Allianz – Health Administration Team (HAT)
With us you do not have to worry, the hospital will verify the details and send the duly filled pre-authorization form. We verify all the details with the policy benefits. We intimate our decision within a day or so.
Pre Auth Form Annexure B Health Administration Team , *A - Wing 2nd Floor, Bajaj Finserv Building, Behind Weikfield IT Park , Off Nagar Road, Viman Nagar | Pune - 411 014 Phone No.: 020 -30305858 / 1800-103-2529 Fax: 020 –30512224 / 6 / 7 Email: preauth@bajajallianz.co.in
ReimbursementFormA+B2013[1].pdf. Bajaj Allianz General Insurance Company Limited. Regd. & Head Office : GE Plaza, Airport Road, Yerawada, Pune 411 006. Email id: customercare@bajajallianz.co.in, Toll free no. 1800-209-5858, 020-30305858. TO BE FILLED IN BY THE HOSPITAL The issue of this form is not to be taken as admission of liability Please ...
CLAIM FORM - PART B. TO BE FILLED IN BY THE HOSPITAL The issue of this Form is not to be taken as an admission of liability (To be Filled in block letters) Please include the original preauthorization request form in lieu of PART A. c) Pre-authorization obtained:
We confirm having read understood and agreed to the Declarations of this form a. Name of the treating doctor _____ b. Qualification: _____ c. Registration number with State code _____ Hospital Seal Patient/Insured Name and Sign (Must include Hospital ID) 4 | P a g e DECLARATION BY THE PATIENT I REPRESENTATIVE a. 1 agrees to allow the hospital to submit all original documents pertaining to hospitalization to the Insurer/T.P.A ...
Bajaj Allianz - Pre Auth Form - Free download as PDF File (.pdf) or read online for free.
Prior to taking treatment and/or incurring Medical Expenses at a Network Hospital, you must call Bajaj Allianz and request pre-authorization by way of the written form the company will provide.
Nov 23, 2022 · Bajaj Finserv Health App As Shown Below: Here Are The Steps You Need To Follow. Synopsis. With the Pre-authorization policy, if you happen to choose a hospital that is convenient for you or near your house but not listed as our partner, you can still avail cashless benefit. Here’s how, Key Takeaways.
