Insurance Authorization Form



An insurance authorization form is a kind of a form which is filled by an individual in order to gain insurance (for example health insurance) benefits from an insurance company. With these forms a hospital or medical center can release information about a patient so that he/she can claim the health insurance benefits.

An insurance authorization form thus authorizes a medical center to act as a representative on behalf of a patient so that he/she can demand benefits. A sample of one such form has been given below and can be used for the purpose of reference by anyone.

Insurance Authorization Form

Category: Authorization Forms

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