Medical Insurance TPA

Search

Refresh

Step 1
Provider Info
Step 2
Authority & Contact Info
Step 3
Facilities & Clinicians

Provider Data

Select Provider Type *

Facility Name *

Is This a Branch?

Select HealthAuthority *

Address

Select Country *

Select Emirates *

Select City *

Select Area *

Street

Location

P O Box

WebSite

LandLine

Business Hours

Open like 09:00 AM

Close like 08:00 PM

Working Hours

Authority Data

Facility License No

Lic Expiry Date

Trade Lic No

Trade Lic Name

Trade Lic Expiry

Authorized Signatory

Signatory Name

Designation

Emirates ID

Contact No

Remarks

Contact Details

Department

Name

Email

Contact No

Network & Insurance

Administration

Accounts

Facilities : Mandatory for Clinic and Hospital

Patient Capacity (OP):

Patient Capacity (IP):

Patient Capacity (DC):

Please Select Facilities Available:

Please Select Specialities Available:

Specify Facility Remarks:

Upload Required Doucuments

Trade License:
Tariff List:
HA License:
Signatory Emirates ID:
Others:

Discount *