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Medi Assist ID Card Beneficiary name: Gangadhara Rao A Medi Assist ID: 4013282650 Employee code: 0043669K Relation: Self Primary insured: Gangadhara Rao A Policy holder: Life Insurance Corporation Of India Generated On: 07 Aug 2015 15:32 (from ecard.medibuddy.in) This is a temporary ecard. 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. 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. For the latest updated Network hospital list, login to www.mediassistindia.com MEDI ASSIST INDIA TPA PVT. LTD. No 45/A, GREEN ARCH, B Block, 2nd Floor, Next to Park View Hotel, 1st Main, 3rd Phase, J. P. Nagar, Bangalore - 560078. CIN: U85199KA1999PTC025676 Website: www.mediassistindia.com

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Medi Assist ID Card

Beneficiary name: Gangadhara Rao A

Medi Assist ID: 4013282650

Employee code: 0043669K

Relation: Self

Primary insured: Gangadhara Rao A

Policy holder: Life Insurance Corporation Of India

Generated On: 07 Aug 2015 15:32(from ecard.medibuddy.in)

This is a temporary ecard.

This card is only for identification and is not an authorization to proceed with thetreatment or a guarantee for payment.In the case of photoless identity cards issued to beneficiaries, acceptable proof ofidentity 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 ofpreauthorization by Medi Assist.For the latest updated Network hospital list, login to www.mediassistindia.com

MEDI ASSIST INDIA TPA PVT. LTD.

No 45/A, GREEN ARCH, B Block, 2nd Floor, Next to Park View Hotel, 1st Main, 3rd Phase, J. P. Nagar, Bangalore - 560078. CIN:

U85199KA1999PTC025676

Website: www.mediassistindia.com