![]() ![]() Each receipt MUST state the following information: Falcon Insurance Company (Hong Kong) Limited will retain the original receipt for record purpose.Īttach the Original receipt(s) issued by the doctor and / or hospital or certified true copy of receipt(s) issued by other insurers (if applicable). Please tick the appropriate box if certified true copy of receipt is required.Original itemized bills, receipts and relevant documents with completed Out-patient Claim Form must be submitted within 90 days of incurring such expenses.Provide copy of claim settlement advice from other insurers, if applicable.Complete and sign Out-patient Claim Form.For Chinese Herbalist claims, the following documents must be submitted:.For Laboratory Test, Specialist Consultation, Physiotherapy / Chiropractor and Prescribed Medicines claims, the Attending Physician’s recommendation must be attached unless it is waived.Hypertension) on the abovementioned documents and confirm with a signatory. If no diagnosis is provided by the doctor, the Claimant (Patient) is required to supplement the exact diagnosis (e.g. For outpatient visits in public hospital/clinic, please attach the original receipts together with a copy of medical certificate / sick leave certificate with specified diagnosis or discharge summary.Date of consultation / Date of treatment. ![]() Attach the Original receipt(s) issued by the doctor or certified true copy of receipt(s) issued by other insurers (if applicable). ![]()
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