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Ecard

The document outlines the details of identification cards issued by Medi Assist for beneficiaries, which are not authorization for treatment or payment guarantees. Beneficiaries must present acceptable proof of identity at hospitals and the cards enable cashless hospitalization with preauthorization. The validity of the cards is contingent on the holder being covered under a valid insurance policy, with specific details for each beneficiary listed.
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0% found this document useful (0 votes)
76 views2 pages

Ecard

The document outlines the details of identification cards issued by Medi Assist for beneficiaries, which are not authorization for treatment or payment guarantees. Beneficiaries must present acceptable proof of identity at hospitals and the cards enable cashless hospitalization with preauthorization. The validity of the cards is contingent on the holder being covered under a valid insurance policy, with specific details for each beneficiary listed.
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
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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 Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Dhawale Udhav Pandhari
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133827954 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Self
Primary insured: Dhawale Udhav Pandhari Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 0221002824P110959340 CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Feb 2025 06:56

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 Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Tejas Udhav Dhvale
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5138784464 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Spouse
Primary insured: Dhawale Udhav Pandhari Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 0221002824P110959340 CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Feb 2025 06:56

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 Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Surya Udhav Dhvale
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5138784463 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Son
Primary insured: Dhawale Udhav Pandhari Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 0221002824P110959340 CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Feb 2025 06:56

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 Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Jijabai Pandhari Dhvale
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5138784461 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Mother
Primary insured: Dhawale Udhav Pandhari Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 0221002824P110959340 CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Feb 2025 06:56
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 Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Pandhari Manik Dhvale
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5138784462 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Father
Primary insured: Dhawale Udhav Pandhari Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 0221002824P110959340 CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Feb 2025 06:56

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