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Submit a Ticket - Pro-tech TODO
Subject
*
Full Name
*
Email Address
*
Phone Number
*
Category
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Card Activation
Member Information Modification
Online Portal Concern
Ordering Package and Product Issues
Transferring Card Issues
Claims
Others
DISMEMBERMENT / DISABLEMENT
Police Report
Notarized Affidavit of the Claimant
Operating Room Record
Detailed Clinical Summary
DEATH
Death Certificate
Police Report
Notarized Affidavit of the Claimant
Proof of Relationship to Beneficiary
Certificate of Insurance / Endorsement
Member ID No.
*
Package
*
Bronze
Silver
Details of your concern
*
Helpdesk Team
Attachment
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