89 lines
5.2 KiB
HTML
Executable File
89 lines
5.2 KiB
HTML
Executable File
<body>
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<div style="display: flex;justify-content: center;gap: 10px;width: 840px;margin: 0 auto;">
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<div style="width: 420px;min-height: 320px; background-image:url({FRONT_CARD});background-size: 100% 100%;border: 1px solid black;line-height: 15px;font-size: 14px;position: relative;">
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<h3 style="font-family: sans-serif;padding-left: 89px;margin-top: 35px;">{INSURER_NAME}</h3>
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<table style="margin-top: 35px;width: 86%;font-family: sans-serif;padding-left: 20px;">
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<tbody>
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<tr>
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<td>UHID No</td>
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<td>:</td>
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<td>{UHID}</td>
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</tr>
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<tr>
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<td><b>{NAME}</b></td>
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</tr>
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<tr>
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<td>Age</td>
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<td>:</td>
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<td>{AGE} years</td>
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</tr>
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<tr>
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<td>Relationship</td>
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<td>:</td>
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<td>{RELATION}</td>
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</tr>
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<tr>
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<td>Plan Period</td>
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<td>:</td>
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<td >{POLICY_START_DATE} To {POLICY_DATE}</td>
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</tr>
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<tr>
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<td>Policy No</td>
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<td>:</td>
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<td>{POLICY_NO}</td>
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</tr>
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<td>Insurer</td>
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<td>:</td>
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<td>LCO : {TPA_ID} : {INSURER_BRANCH}</td>
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</tbody>
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</table>
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<div>
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<img src="{INSURER_LOGO}" alt="" width="70px" height="70px" style="object-fit: fill;position: absolute;top: 6px;left: 15px;">
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</div>
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</div>
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<div style="width: 420px;min-height: 320px; background-image: url('{BACK_CARD}');background-size: 100% 100%;border: 1px solid black;padding-top: 10px;padding-right: 10px;">
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<h4 style="font-family: sans-serif;padding-left: 20px;margin:0px;">Instructions</h4>
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<ul style="font-family: sans-serif;font-size: 11px;line-height: 15px;padding-left: 30px;">
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<li>Card has to be presented to our network hospitals at the time of the admission while availing cashless</li>
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<li>Free authorizationfrom FHPL it must should be taken before 48 hrs for all planed admissions & emergency admissions within 24 hrs of getting admitted to any network hospitals FHPL</li>
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<li>The issuance of this card doesnot guarantee cashless benefits /hospitalisation</li>
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<li>The card is for the identification purpose.in case of without photograph card.Alternative identification proof such as Voter ID/driving license etc...should be produced</li>
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<li>All insurance claim will be processed as per policy terms & conditions</li>
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<li>For more details kindly referbook kindly provided</li>
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</ul>
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</div>
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</div>
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<div style="margin-top: 50px;">
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<h4 style="font-family: sans-serif;margin: 0px;margin-left: 30px;">TERMS AND CONDITIONS:</h4>
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<div style="width: 100%;line-height: 30px;">
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<ol type="number" style="font-family: sans-serif;">
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<li>This card is generated as per the details given by your employer/HR. Incase of any errors in the
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details you may confirm the same through your employer for making required corrections.</li>
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<li>No physical card will be provided to you. For all requirements you may use this card printed in black
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and white or colour.</li>
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<li>You can access our network hospitals list from our website https://www.fhpl.net for any information
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regarding hospitals available within your location or as required.</li>
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<li>For the convenience of the members the guide book is made available on our website
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https://www.fhpl.net for understanding protocols in the event of any hospitalization assistance required
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for availing cashless service and also to forward any claim where the member has spent on his/her own.</li>
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<li>All our network hospitals will accept the printed card and seek the preauthorization from FHPL in the
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event of any in-patient hospitalization.</li>
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<li>Incase there is no photograph on the ID card, the member has to identify himself/herself with any other
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photo-card like: credit card, ration card, electoral card, Company ID card etc in conjunction with this card.</li>
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<li>This card is not transferable and cannot be forwarded further to any other person by email/fax.</li>
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<li> The card will be visible to any member as long the policy is valid after which this service will be
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withdrawn or till such time the member is employed with the current employer.</li>
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<li>Usage of this card after the validity/policy expiry will not be entertained.</li>
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<li>A fresh card will be generated subjected to the renewal of the policy.</li>
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<li>For Any further queries, Please feel free to contact us on Toll—Free Helpline :1800 - 103 - 7519</li>
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</ol>
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</div>
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</div>
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</body> |