STEP CLAIM BILL HOSPITAL (PAY & CLAIM)

NOTE: SEMUA DOKUMEN MESTI PANGKAH TANGAN PEN MERAH

“SUBMIT TO ETIQA”

CLAIM FOR: IN PATIENT HOSPITAL

1. CLAIM PAY & CLAIM (BIL HOSPITAL)

1. BORANG TUNTUTAN SEKSYEN A
2. INVOICE/DETAIL BILL/ITEMIZE BILL
3. RESIT BAYARAN BILL
4. DISCHARGE NOTE
5. KAD FOLLOW UP HOSPITAL
6. REPORT LAB/XRAY/DAN LAIN2
7. BORANG LAPORAN OLEH DOKTOR (ETIQA) FORM B
8. IC

2. CLAIM COVID19 (BIL HOSPITAL)

1. BORANG TUNTUTAN SEKSYEN A
2. INVOICE/DETAIL BILL
3. RESIT BAYARAN BILL
4. DISCHARGE NOTE
5. KAD FOLLOW UP HOSPITAL
6. REPORT LAB/XRAY/DAN LAIN2
7. BORANG LAPORAN OLEH DOKTOR (ETIQA)
8. IC

3. CLAIM ELAUN WAD RM200day GOV HOSPITAL

1. BORANG TUNTUTAN PESERTA SEKSYEN A
2. DISCHARGE NOTE
3. IC
4. KAD FOLLOW UP
5. BILL DEPOSIT / RESIT BAYARAN BILL

CLAIM FOR: IN PATIENT

MOHON HUBUNGI WAKIL KAMI JIKA PERLUKAN SEBARANG PERTANYAAN