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.
Washington National offers a full line of supplemental health and life insurance products, through a nationwide network of independent insurance agents serving middle-income Americans.
Typical sections of a claim form: Personal information like your name, address and date of birth. Insurance information such as a policy and group number. Reason for your visit including background information about your condition. Provider information including the doctor's name and address.
Washington National offers a full line of supplemental health and life insurance products, through a nationwide network of independent insurance agents serving middle-income Americans.
CNO Financial Group Washington National Insurance Co / Parent organization
Representatives can be contacted directly or you can reach our team at 202-675-6287 (NATS).
Or give us a call at (800) 525-7662, Monday-Friday, A.M.- P.M.
Request a claim form online: Go to My.WashingtonNational and click on the Forms tab. Or by phone: (800) 525-7662 Read and follow all instructions listed on the claim 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.
Return your completed claim form and all attachments to Washington National Insurance Company via fax number 1-317-817-2276 or PO Box 1902, Carmel, IN 46082-1902.
Contact your insurance company Whether you file your car insurance claim over the phone, online, through a mobile app, or with an agent, your insurer will likely request the following details: Location, date, and time of accident. Name, address, phone number, and insurance policy number for all involved in the accident.