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+ Thailand Health Insurance Providers
Click above for a list of the available Thailand-specific claim forms you can download. If you don't see your provider, or form, please feel free to contact our advisors.
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Aetna NZI
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Aetna Thailand
- Aetna Thailand Admission Form For Accidents (English)
- Aetna Thailand Reimbursement Form (English and Thai)
- Aetna Thailand Concurrent Form (English)
- Aetna Thailand Disclaim Of Special Lab Test From Inpatient Benefit (English)
- Aetna Thailand Medical Information Form (Thai)
- Aetna Thailand Physician Attending Report (English)
- Aetna Thailand Pre-Authorization Form (English)
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April Thailand
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AXA Thailand
- AXA Thailand Cancer Claim Form
- AXA Thailand Death Claim Form
- AXA Thailand Health Non-IE Claim Form
- AXA Thailand Pre-Authorization Form IE
- AXA Thailand Pre-Authorization Process
- AXA Thailand Reimbursement Dental IE
- AXA Thailand Reimbursement In-Patient IE
- AXA Thailand Reimbursement Out-Patient IE
- AXA Thailand Reimbursement Process
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LMG
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LUMA
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MSIG
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Pacific Cross
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William Russell ThaiViVat
International Providers
If you have an international plan via our office in the Thailand, please feel free to contact our claims team for advice on how to submit your claim and the relevant forms.
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