Common use of Proof of Claim Clause in Contracts

Proof of Claim. The Policyholder must request reimbursement through my Bupa at xxx.xxxxxxxxx.xxx, or send request to servicio@bupalatinamerica. com, including a copy of detailed invoices, medical records and proof of payment, within one hundred and eighty (180) days after the treatment or service date. Failure to do so will result in the claim being denied. Exchange rates for bills received in currencies other than U.S. dollars will be in accordance with the official exchange rate, as determined by the Insurer, on the date of service. Additionally, the insurer reserves the right to issue the payment or reimburse- ment in the currency in which the service or treatment was invoiced. After their nineteenth (19th) birthday, dependent insureds must provide a written state- ment signed by the Policyholder that the dependent’s marital status is single. In the event that the Insured does not agree with what was determined by the Insurer in relation to any claim (closed) or in the event that the insurer needs additional information, they will have up to 180 days from the date of issuance of the explanation of benefits to present such information.

Proof of Claim. The Policyholder must request reimbursement through my Bupa at xxx.xxxxxxxxx.xxx, or send request to servicio@bupalatinamerica. comservicio@bupalatina- xxxxxx.xxx, including a copy of detailed invoices, medical records and proof of payment, within one hundred and eighty (180) days after the treatment or service date. Failure to do so will result in the claim being denied. Exchange rates for bills Bills received in currencies other than U.S. dollars will be processed in accordance with the official exchange rate, as determined by the Insurer, on the date of service. Additionally, the insurer reserves the right to issue the payment or reimburse- ment in the currency in which the service or treatment was invoiced. After their nineteenth (19th) birthday, birthday dependent insureds must provide a written state- ment signed by the Policyholder that the dependent’s marital status is single. In the event that the Insured does not agree with what was determined by the Insurer in relation to any claim (closed) or in the event that the insurer needs additional information, they will have up to 180 days from the date of issuance of the explanation of benefits to present such information.

Proof of Claim. The Policyholder must request reimbursement through my Bupa at xxx.xxxxxxxxx.xxx, or send request to servicio@bupalatinamerica. comservicio@bupalatina- xxxxxx.xxx, including a copy of detailed invoices, medical records and proof of payment, within one hundred and eighty (180) days after the treatment or service date. Failure to do so will result in the claim being denied. Exchange rates for bills Bills received in currencies other than U.S. dollars will be processed in accordance with the official exchange rate, as determined by the Insurer, on the date of service. Additionally, the insurer reserves the right to issue the payment or reimburse- ment in the currency in which the service or treatment was invoiced. After their nineteenth (19th) birthday, birthday dependent insureds must provide a written state- ment statement signed by the Policyholder that the dependent’s marital status is single. In the event that the Insured does not agree with what was determined deter- mined by the Insurer in relation to any claim (closed) or in the event that the insurer needs additional information, they will have up to 180 days from the date of issuance of the explanation of benefits to present such information.