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WebIntimate New Claim Intimate claim for * Policy number * User details Policy number : Type of policy : Product name : Insured name : Policy Issuing office : Start date : End date : This … WebOnline Claim Submission Tutorial - Medi Assist WebGUIDANCE 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 standard quarter round size