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Mediassist Ecard PDF

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24 Hour Toll Free Number

1800 425 9449

This card is only for identification and is not an authorization to proceed with
PolNo : 351700/46/12/8500000289 the treatment or a guarantee for payment.
HolderName : HCL Technologies Ltd-IOMC Division In the case of photoless identity cards issued to beneficiaries, acceptable
MediAssistId : 5005146520 proof of identity such as: Unique ID Card/Passport/Driver’s License /Ration
Card / Voter’s ID Card/PAN Card should be presented at hospitals.Subject to
EmpCode : 51376080 the terms & conditions of the underlying insurance policy, this
EmpName : A Imran Khan non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Name : A Imran Khan Medi Assist.All preauthorization and/or settlement of claim is subject to the
Relation : Self terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Sri Krishna Arcade, 47/1,9th Cross, 1st Main Road,
Sarakki Industrial Layout, J P Nagar 3rd Stage,
Bangalore - 560078. Ph:(080)26584811,Fax:(080)26584812.

24 Hour Toll Free Number


1800 425 9449

This card is only for identification and is not an authorization to proceed with
PolNo : 351700/46/12/8500000289 the treatment or a guarantee for payment.
HolderName : HCL Technologies Ltd-IOMC Division In the case of photoless identity cards issued to beneficiaries, acceptable
MediAssistId : 5005154700 proof of identity such as: Unique ID Card/Passport/Driver’s License /Ration
Card / Voter’s ID Card/PAN Card should be presented at hospitals.Subject to
EmpCode : 51376080 the terms & conditions of the underlying insurance policy, this
EmpName : A Imran Khan non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Name : A Dilshad Begum Medi Assist.All preauthorization and/or settlement of claim is subject to the
Relation : Mother terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Sri Krishna Arcade, 47/1,9th Cross, 1st Main Road,
Sarakki Industrial Layout, J P Nagar 3rd Stage,
Bangalore - 560078. Ph:(080)26584811,Fax:(080)26584812.

24 Hour Toll Free Number


1800 425 9449

This card is only for identification and is not an authorization to proceed with
PolNo : 351700/46/12/8500000289 the treatment or a guarantee for payment.
HolderName : HCL Technologies Ltd-IOMC Division In the case of photoless identity cards issued to beneficiaries, acceptable
MediAssistId : 5005154701 proof of identity such as: Unique ID Card/Passport/Driver’s License /Ration
Card / Voter’s ID Card/PAN Card should be presented at hospitals.Subject to
EmpCode : 51376080 the terms & conditions of the underlying insurance policy, this
EmpName : A Imran Khan non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Name : R Anwar Deen Medi Assist.All preauthorization and/or settlement of claim is subject to the
Relation : Father terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Sri Krishna Arcade, 47/1,9th Cross, 1st Main Road,
Sarakki Industrial Layout, J P Nagar 3rd Stage,
Bangalore - 560078. Ph:(080)26584811,Fax:(080)26584812.

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