Fillable Online WorldCare claim form - Now Health 2025

1. Click ‘Get Form’ to open the Fillable Online WorldCare claim form in the editor.
2. Begin with Section 1, where you will input your Member and Patient Information. Ensure to fill in all fields in BLOCK CAPITALS, including the Planholder’s name, Patient’s name, and date of birth.
3. Specify the reason for your doctor visit and provide details about the treatment date and country. Make sure to select the type of service you received (e.g., Out-Patient or In-Patient).
4. If claiming over USD 500/SGD 650, complete Section 3 with medical information from your treating physician. This includes diagnosis details and treatment dates.
5. In Section 2, provide payment details. Choose whether payment should go to the Planholder or Provider and fill in necessary bank transfer information if applicable.
6. Finally, review Section 4 for declaration and authorization. Sign and date where required before submitting your completed form via email or fax.

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