- Surgery and/or Medical procedure programming:
- Copy of Insurance Policy.
- Medical Report that includes diagnosis, place and date of surgery and a detail budget of the participating doctors expenses.
- Studies that confirm diagnosis. (if exists).
- Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
- We will receive Authorization letter for that surgery or procedure that will be deliver to the Hospital or Doctor of the insured for direct payment.
- Medication Programming:
- Copy of Insurance Policy.
- Medical Report that includes the dose and period the medication will be taken by the insured.
- Studies that confirm diagnosis. (if exists).
- Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
- Budget with medicine cost.
- They will send an Authorization letter to the assigned provider so they can send the medication to the insured address.
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- Copy of Insurance Policy.
- Medical Report, fill out and sign by your doctor.
- Studies that confirm diagnosis. (if exists).
- Illines or accident notification form fill out and sign by the insured (does not apply for BUPA or BEST DOCTORS).
- Refund form signed by the insured.
- Wire transfer form fill out & signed by the insured.
- Copy of Bank Statement that includes account and CLABE number for electronic wire transfer.
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