Company-Specific Forms
This guide provides information about all forms specific to Al Wathba National Insurance policies administered through NAS Neuron. Download links and submission guidelines are included.
Essential Forms Directory
Claim Forms
| Form Name | Purpose | When to Use |
|---|---|---|
| Reimbursement Claim Form | Request refund for out-of-pocket medical expenses | Within 30 days of treatment |
| Direct Billing Shortage Form | Claim difference when partial direct billing occurred | When you paid part of the bill |
| International Claim Form | Claims for treatment outside UAE | For overseas medical expenses |
Pre-Approval Forms
| Form Name | Purpose | Required For |
|---|---|---|
| Elective Surgery Request | Pre-approval for planned surgeries | All non-emergency surgeries |
| Maternity Services Form | Register pregnancy and delivery plans | Maternity coverage activation |
| Chronic Medication Form | Long-term medication approval | Recurring prescriptions |
Member Services Forms
Addition/Deletion Forms
- Add Dependent Form: Add spouse or children to existing policy
- Newborn Addition Form: Add baby within 30 days of birth
- Delete Member Form: Remove dependents from policy
Update Forms
- Contact Update Form: Change address, phone, email
- Bank Details Form: Update account for reimbursements
- Card Replacement Form: Request new card if lost/damaged
Form Completion Guidelines
Section 1: Member Information
- Full name as per Emirates ID
- Policy number (starts with AW-)
- Member ID from insurance card
- Contact number and email
Section 2: Medical Information
- Date of treatment/service
- Diagnosis or reason for treatment
- Provider name and license number
- Total amount (in AED)
Section 3: Declaration
- Read declaration carefully
- Sign and date the form
- Parent/guardian signature for minors
Special Forms and Procedures
Appeal Form
Use when claim is rejected or partially paid:
- Complete within 30 days of rejection
- Attach rejection letter
- Include additional medical justification
- Submit through registered case
Coordination of Benefits Form
For members with multiple insurance:
- Declare all other insurance policies
- Specify primary and secondary insurance
- Attach other insurance card copies
Travel Insurance Claim Form
For emergency treatment during travel:
- Complete within 48 hours of return
- Attach passport copy with stamps
- Include emergency report from hospital
- Provide currency conversion proof
Form Submission Methods
Online Portal Submission
- Log into myNAS portal
- Navigate to "Forms & Documents"
- Select required form
- Complete online or upload filled PDF
- Attach supporting documents
- Submit and note reference number
Email Submission
| Form Type | Email Address |
|---|---|
| Reimbursement claims | reimbursement.claims@nas.ae |
| Pre-approvals | approvals@nas.ae |
| Member updates | customercare@nas.ae |
| Provider forms | providernetwork@nas.ae |
Physical Submission
For original documents required:
- Dubai Office: P.O. Box 72071, Dubai, UAE
- Abu Dhabi Office: P.O. Box 72071, Abu Dhabi, UAE
- Courier: Use registered mail with tracking
Form Processing Times
| Form Type | Processing Time |
|---|---|
| Reimbursement claims | 5-10 working days |
| Pre-approvals | 24-48 hours |
| Member additions | 3-5 working days |
| Card replacement | 7-10 working days |
| Appeals | 10-15 working days |
Common Form Errors to Avoid
- ❌ Incomplete member information
- ❌ Missing signatures
- ❌ Incorrect dates
- ❌ Calculation errors in amounts
- ❌ Missing supporting documents
- ❌ Using outdated form versions
Form Download Access
All current Al Wathba forms can be accessed through:
- myNAS Mobile App: Forms section
- Web Portal: nas.ae login → Documents
- Email Request: customercare@nas.ae
- HR Department: For corporate members