Automated Claim Processing System

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Request a Guarantee of Payment

Enter the member's details and the treatment information.

Member

Member ID *

The details below are filled in automatically from the member ID.

Organization

Member name

Relation

Date of birth

Commencement date

Claim category *

Admission or treatment date *

Contact mobile number The claim officer will contact you on this number.

Area

Hospital

Bed number (optional)

Cause of admission (optional)

Attachment, e.g. doctor’s advice or prescription (optional)