Common use of Process for ACCIDENTAL INJURY CASH BENEFIT claims Clause in Contracts

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. Please note that where an incident was reported/or should be reported to the SAPS, We could require You to provide us with a copy of the police or accident report.

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ forms/Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/clinic/ hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. Please note that where an incident was reported/or should be reported to the South African Police Services (SAPS, ); We could require You to provide us with a copy of the police or accident report.

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ forms/Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/clinic/ hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s ies and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. . c. Please note that where an incident was reported/or should be reported to the SAPS, ; We could require You to provide us with a copy of the police or accident report.

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ forms/Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/clinic/ hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s ies and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. . c. Please note that where an incident was reported/or should be reported to the SAPS, ; We could require You to provide us with a copy of the police or accident report.

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s ies and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. . c. Please note that where an incident was reported/or should be reported to the SAPS, ; We could require You to provide us with a copy of the police or accident report.

Process for ACCIDENTAL INJURY CASH BENEFIT claims. a. You will be required to provide us with a completed claim form, a clear certified copy of the insured persons ID document (who received treatment whilst admitted to hospital), as well as the specific medical information We require to process Your claim (refer to 9.2 above for the time period in which to do so). b. The medical information, in the form of Hospital admission forms/ forms/Hospital records detailing treatment, that You need to provide us with must be obtained by You from the clinic/clinic/ hospital or the doctor/nurse that treated the insured patient. That medical information must contain at least the following information: - the date and time of the insured person’s admission into, and discharge from, the hospital/clinic; - contact details of the hospital; - the final diagnosis of the accidental injury/s and the reason for the time spent in hospital; - all medication and treatment administered to the insured person; - details of any procedures the insured person underwent; and - the long-term prognosis for the insured person’s injuries. Please note that where an incident was reported/or should be reported to the South African Police Services (SAPS, ); We could require You to provide us with a copy of the police or accident report.