A filled in Claim Payout Form (for natural persons) as per the Insurer’s template – an original with all particulars
Outpatient card, issued by the attending physician and containing tests prescribed – a copy
A referral form, issued by the attending physician to have the respective medical test performed – a copy (it may not be submitted, if the outpatient card contains the prescribed tests)
Test results - a copy
A detailed invoice in the Insuree’s name (reflecting the conducted medical examinations, by type and price) and a fiscal receipt attached to it – an original
An official document, containing the Insuree’s bank account, if it has not been indicated in the Claim Payout Form