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CASHLESS CLAIM FORM Toll Free No. 1800-345 …

CASHLESS CLAIM FORM Toll Free No. 1800-345

www.geninsindia.com

GUIDANCE FOR FILLING CLAIM FORM - PART B (To be filled in by the hospital) DATA ELEMENT DESCRIPTION FORMAT a) Name of the hospital: b) Hospital ID

  1080, Free, Toll, Toll free no

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