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Mphasis Insurance ID Card Guide

The document contains 3 sections providing insurance identification cards for Riyaz Shaban, his daughter Samaira Riyaz, and his spouse Diana Lydia Athokpam. Each section lists key insurance details like the policy number, holder name, MediAssist ID, employee code and name. The cards are only for identification and not authorization for treatment payment. Acceptable proof of identity must be shown at hospitals along with preauthorization from MediAssist for cashless hospitalization as per the insurance policy terms.

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Imran Khan
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188 views1 page

Mphasis Insurance ID Card Guide

The document contains 3 sections providing insurance identification cards for Riyaz Shaban, his daughter Samaira Riyaz, and his spouse Diana Lydia Athokpam. Each section lists key insurance details like the policy number, holder name, MediAssist ID, employee code and name. The cards are only for identification and not authorization for treatment payment. Acceptable proof of identity must be shown at hospitals along with preauthorization from MediAssist for cashless hospitalization as per the insurance policy terms.

Uploaded by

Imran Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

24 Hour Toll Free Number

1800 425 9449


PolNo
HolderName
MediAssistId
EmpCode
EmpName
Name
Relation

: 112700/34/15/04/00000078
: Mphasis Limited
: 5023097376
: 2334758
: Riyaz Shaban
: Riyaz Shaban
: Self

This card is only for identification and is not an authorization to proceed with
the treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable
proof of identity such as: Unique ID Card/Passport/Drivers License /Ration
Card / Voters ID Card/PAN Card should be presented at hospitals.Subject to
the terms & conditions of the underlying insurance policy, this
non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Medi Assist.All preauthorization and/or settlement of claim is subject to the
terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Tower D, 4th Floor, IBC Knowledge Park
4/1 Bannerghatta Road, Bangalore - 560029.
www.mediassistindia.com

24 Hour Toll Free Number


1800 425 9449
PolNo
HolderName
MediAssistId
EmpCode
EmpName
Name
Relation

: 112700/34/15/04/00000078
: Mphasis Limited
: 5023715964
: 2334758
: Riyaz Shaban
: Samaira Riyaz
: Daughter

This card is only for identification and is not an authorization to proceed with
the treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable
proof of identity such as: Unique ID Card/Passport/Drivers License /Ration
Card / Voters ID Card/PAN Card should be presented at hospitals.Subject to
the terms & conditions of the underlying insurance policy, this
non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Medi Assist.All preauthorization and/or settlement of claim is subject to the
terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Tower D, 4th Floor, IBC Knowledge Park
4/1 Bannerghatta Road, Bangalore - 560029.
www.mediassistindia.com

24 Hour Toll Free Number


1800 425 9449
PolNo
HolderName
MediAssistId
EmpCode
EmpName
Name
Relation

: 112700/34/15/04/00000078
: Mphasis Limited
: 5023097377
: 2334758
: Riyaz Shaban
: Diana Lydia Athokpam
: Spouse

This card is only for identification and is not an authorization to proceed with
the treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable
proof of identity such as: Unique ID Card/Passport/Drivers License /Ration
Card / Voters ID Card/PAN Card should be presented at hospitals.Subject to
the terms & conditions of the underlying insurance policy, this
non-transferable identification card is valid at selected hospitals will enable
you to avail cashless hospitalization only on the basis of preauthorization by
Medi Assist.All preauthorization and/or settlement of claim is subject to the
terms and conditions of the relevant policy.For the latest updated hospital list,
login to www.mediassistindia.com
MEDI ASSIST INDIA TPA PVT.LTD
Tower D, 4th Floor, IBC Knowledge Park
4/1 Bannerghatta Road, Bangalore - 560029.
www.mediassistindia.com

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