Orient Insurance Reimbursement Form

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Catering to both individuals and corporate organizations, Orient Insurance PSJ is one of the leading insurance providers in the UAE. The company specializes in health insurance but offers all kinds of non-life insurance products and services as well. Orient insurance is not only a leading insurance provider in UAE but has also established its business in Sri Lanka, Egypt, and Turkey. Apart from competitive insurance plans and an easy-to-navigate online portal, Orient insurance also offers a very well-aligned claim process. Let us discuss the entire Orient reimbursement form filling procedure to ensure a trouble-free claim filling session for you.

Download Orient Insurance Claim Form PDF

Complete Orient Insurance Claim Process

You will need to take care of three major things when initiating an Orient insurance reimbursement claim. Given following is a list of the main steps that are involved in the process of filling and submitting an Orient reimbursement form:

  • Obtain the Orient insurance reimbursement form from an authentic Orient insurance claim form download link and fill it out as per the suggested requirements. The next section will explain the steps you are required to follow to ensure that you have filled it out correctly.
  • Gather all the documents that you need to submit with your reimbursement form and prepare a set. You will have to submit a few original documents like receipts so, ensure you keep them safe.
  • The final step is to submit the claim form using a method suitable for you. Orient insurance reimbursement forms can be submitted via both offline and online methods. So, pick the one that suits you the best and forward the claim documents to the company.

How to Fill Orient insurance reimbursement form

The Orient reimbursement form is slightly lengthy and may seem confusing at first glance. However, it is lengthy only because the same form contains columns for basic illness and injury treatment claims, maternity claims and dental claims. You can use the same Orient insurance claim form for all three types of claims. Given below is a complete breakdown of the form filling procedure for the Orient reimbursement form:

  • Download the Orient claim form from a trusted source like Policybazaar.ae or Orient Insurance web portal. Authenticate the form by checking the presence of the logo.
  • Take a printout of the form if you want to submit the claim via offline methods. Fill out the form on your laptop/smartphone using editorial mode for online submissions.
  • Start by entering the details of the policyholder. This section will include all the basic details that are also generally mentioned on the insurance card provided by the company. Ensure the details on the form match your card.
  • Add the name and details of the patient if they are different from the policyholder. This is applicable in the case of dependents applying for a reimbursement claim.
  • Section 3 of the Orient claim form will contain the details of the bank account in which you want the reimbursement funds to be transferred. Recheck these details very carefully. Even a single mistake can result in bounced checks or failed bank transfers.
  • Move to section 4 and start adding the expenses, services, or treatments that you want to reimburse. You will have one whole page for listing the services so, be thorough and add every single thing that you would like to be reimbursed, as per the plan.
  • You can also use a separate to add more services and provider details if the space on the form table runs out.
  • Put in the country of where you received the treatment and whether you got pre-authorization for it.
  • Section 5 and section 6 of the Orient reimbursement form are to be completed by your doctor. Request them to fill out these parts of the form and authenticate the details with their stamp and signature.
  • Section 5 of the Orient Insurance claim form will contain the details of the medical provider/doctor. This includes name, qualifications/degree, hospital/clinic, address, phone number, etc.
  • Please move to section 6 and fill out the details of the treatment received by the claimant. Enter the Guarantee of Payment reference number if you got the treatment pre-authorized, if not leave the section empty. Add the diagnosis details like symptoms, medical condition, etc. The doctor will have to add a few more details related to your treatment and conditions to complete the section.
  • Request the doctor to sign in the given box and authenticate sections 5 and section 6.
  • Section 7 contains a few terms and conditions about data sharing and retention. Have a thorough read and sign in the allotted space.
  • Finally, fill out section 8 which is the third-party authorization section (i.e., the claimant). All you need to do is sign in the allotted spaces and date the form.

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Documents Required for Orient Insurance Reimbursement Form

Listed below are all the documents that you will need to submit with your Orient Insurance reimbursement form:

  • Invoices and payment receipts for the diagnostic tests and lab tests for which you are claiming reimbursement.
  • Reports of the diagnostic tests and lab tests related to your illness/injury and the treatment suggested by the doctor.
  • Receipts and invoices for prescription medicines were added to the list of reimbursements.
  • Doctor’s prescription for all the prescription medicines added in the Orient reimbursement form as well as the diagnostic tests.
  • Admission and discharge documents of hospitalization if you also opted for hospitalization during your treatment.
  • Invoice and receipt of the payment for the hospital stay along with other supporting documents.

Note that you only have to submit a copy of each of these documents to Orient Insurance with your Orient reimbursement form. You can keep the original documents, receipts and invoices with you for the time being. Although, Orient Insurance reserves the right to ask for them, for the next 12 months. So, it is wise to make an extra copy of all the payment receipts, invoices, and prescriptions, to use later if and when you need.

How to Submit Orient Insurance Reimbursement Form?

There are two ways you can submit the Orient reimbursement form for UAE – online and offline. Following is a detailed explanation of both:

Online Orient Insurance claim form Submission

Orient Insurance does not have an online portal submission option for the Orient reimbursement form but you can use their official email address to make submissions. Collect the scanned copy of the documents and the Orient reimbursement form, make a zip folder and forward it to Orient Insurance via email. The claim submission email address can be found at the bottom of the reimbursement form.

Offline Orient Insurance claim form Submission

There are two ways to make an offline submission for the Orient reimbursement form. You can either fax the documents or send them via mail. The fax number for the UAE main office of Orient Insurance can be found at the end of the form along with phone and contact numbers. If you want to send the document via mail, courier them to the main office of Orient Insurance PSJC located in Dubai Festival City. The complete address can be found on the Orient Insurance claim form itself.

Things to Remember When Filling Orient Insurance Claim Form

  • If you have received all the treatment and medical services added on the reimbursement form in the UAE, the deadline to submit a reimbursement claim for them is 60 days. In case you received treatment outside of UAE, you will have 90 days from the date of treatment to file the claim.
  • Recheck the Orient Insurance reimbursement form at least twice before submitting it and make sure that you have not made any mistakes. Even the smallest clerical error will have the form rejected from the administrative system. You will have to submit everything once again if that happens.
  • This applies to the documents that you attach with the Orient Insurance claim form as well. Every expense listed in the form must have a supporting invoice and receipt for the payment attached with the form. Missing documents will also get the claim rejected.
  • The form shall be filled in either English or Arabic for UAE reimbursement claims.
  • All the supporting documents, invoices, and reports shall also be either in English or Arabic. If they are in other languages, you must get them translated from a public translator and add the translated version as well.


The process of filling and submitting an Orient Insurance claim form is relatively lengthier but not difficult or confusing. All you need is a complete set of information on steps to fill the form, a list of the documents needed and the correct address to send the claim form. Just make sure that you are completely focused when filling out the form and details. The slightest slip can result in claim rejection. You may have to spend a lot more resources and labor in resubmitting the form.

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