Guideline 09-02

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ATENDIMENTO ACIONAMENTO ACOMPANHAMENTO RETENÇÃO GLOSSÁRIO Solicitação do atendimento: Voltar para: ACIONAMENTO ASSISTÊNCIA VIAGEM Greetings, See below the request for a new medical case. Please, provide directions for the nearest hospital along with a GOP in our behalf. Policyholders (PH) full name: Date of birth (Month/day/year): Language(s) spoken by PH: Travelling companion(s) (number + names): Location and contact details of PH (All phone numbers must include country and area code): Location and contact details of travelling companion(s) (All phone numbers must include country and area code): Hospital/Clinic/Doctor contact details (if alpplies): Nature of problem: Limits in coverage: Assistance requested: Medical report requested: Yes Cost guarantee requested: Yes We kindly ask you to advise if a medical release form will be necessary, as we are going to need to obtain the medical report, itemized hospital charges and invoice. Thank you for your help. We’ll be expecting an answer shortly. Best regards,
ATENDIMENTO ACIONAMENTO ACOMPANHAMENTO RETENÇÃO GLOSSÁRIO Cobrança do prestador : Voltar para: ACIONAMENTO ASSISTÊNCIA VIAGEM Greetings, Can you please provide an update on this case? We need a position ASAP. Thank you. Regards,
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Guideline 09-02

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