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Online Claim Submission

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Policy Number	Insured Name	Policy Period	Mobile Number	Insured Iqama	Product	Action

Policy Details

Policy Number

Insured Name

Policy From Date

Policy To Date

Insured Iqama

Assured Code

Currency Code

Incident Date / Loss Date

*

Intimation Date

Claim Division

*

Product Code

Email Address

*

Mobile Number

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Patient Name

*

Patient Name Arabic

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Document Details

Document Details

S No.	Code	Document Name	Required	Upload

Note: If any additional documents are needed to handle the claim, they will be requested later.

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