You hereby declare that all information provided and the documents submitted are true and correct to the best of your knowledge and belief. The amounts claimed are the actual charges incurred by you, are legally due to you under the terms of your policy, and are not recoverable from any other source. You understand that the submission of claim is still subject to further review, and we might ask for additional information.
You authorise any doctor, hospital, or other health provider or facility, other insuring or reinsuring company, or employer to release to APRIL and your Insurer (“the Company”) any information or records they may have regarding your health, tests or treatments you have received, and benefits or compensation thereof. If this claim relates to an accident, past or present, you also authorise any governmental body, agency, or other person or organization who may have records pertaining to such accident to release such records or information. You understand that this information will be used by the Company to determine eligibility for benefits, and that any information obtained will not be released by the Company to any person except to reinsuring companies, APRIL entity (who is identified as an administrator on your policy) and its affiliates or other persons or organizations performing business or legal services in connection with your claim, except as may be required by law. You agree that a photocopy or facsimile of this release shall be as effective as the original.
You acknowledge and accept that your personal information will be processed by APRIL entity in accordance with our Privacy Policy.