This form is a sample letter in Word format covering the subject matter of the title of the form.
This form is a sample letter in Word format covering the subject matter of the title of the form.
A health insurance claim form has two sections, i.e., Part A and Part B. While Part A is to be filled out by the policyholder, Part B is for the hospital. 2. In Part A of the form, you must fill out your name, residential address, policy number, email ID, phone number, medical history, details of hospitalisation, etc.