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Syed Fazul Rahiman 01-Oct-2024 To 30-Sep-2025 Ltimindtree Limited

The document outlines the identification cards issued for beneficiaries, which are not authorization for treatment or payment guarantees. It specifies the acceptable forms of identity proof required at hospitals and details the cardholder's information, including beneficiary names, member IDs, and policy details. The policy is valid for cashless hospitalization at selected network hospitals, requiring preauthorization by Medi Assist.

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Abzi Syed
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36 views1 page

Syed Fazul Rahiman 01-Oct-2024 To 30-Sep-2025 Ltimindtree Limited

The document outlines the identification cards issued for beneficiaries, which are not authorization for treatment or payment guarantees. It specifies the acceptable forms of identity proof required at hospitals and details the cardholder's information, including beneficiary names, member IDs, and policy details. The policy is valid for cashless hospitalization at selected network hospitals, requiring preauthorization by Medi Assist.

Uploaded by

Abzi Syed
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
ID Card / PAN Card should be presented at hospitals.
Beneficiary name: Shaik Aneesa Sulthana This non-transferable identification card is valid at selected Network Hospitals
& will enable Card Holder to avail cashless hospitalization only on the basis of
Member ID: 5136184678 preauthorization by Medi Assist.
For the latest updated Network hospital list, login to www.mediassisttpa.in
Employee code: 61039014 Dependents are covered in the policy
Relation: Mother
Primary insured: Syed Fazul Rahiman Medi Assist Insurance TPA Pvt. Ltd.
Policy period: 01-Oct-2024 to 30-Sep-2025 Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,
Karnataka 560029.CIN: U85199KA1999PTC025676
Policy holder: LTIMindtree Limited Website: www.mediassisttpa.in Email: ltimindtree@mediassist.in

Toll free phone number: 9620009418 Toll free phone number: 9620009418

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
ID Card / PAN Card should be presented at hospitals.
Beneficiary name: Syed Gaffor This non-transferable identification card is valid at selected Network Hospitals
& will enable Card Holder to avail cashless hospitalization only on the basis of
Member ID: 5136184679 preauthorization by Medi Assist.
For the latest updated Network hospital list, login to www.mediassisttpa.in
Employee code: 61039014 Dependents are covered in the policy
Relation: Father
Primary insured: Syed Fazul Rahiman Medi Assist Insurance TPA Pvt. Ltd.
Policy period: 01-Oct-2024 to 30-Sep-2025 Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,
Karnataka 560029.CIN: U85199KA1999PTC025676
Policy holder: LTIMindtree Limited Website: www.mediassisttpa.in Email: ltimindtree@mediassist.in

Toll free phone number: 9620009418 Toll free phone number: 9620009418

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