| Document Date: 2015-05-13 04:19:00
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City PV / Cork / / Company Aviva Group / Data Protection Aviva Health Insurance Ireland Limited / Bank of Ireland / Aviva Health Insurance Ireland Limited / / Country Ireland / / Currency EUR / / / Facility hospital Ward/Room Name/No. Bed No. No. / hospital Please Mark / / IndustryTerm insurance products / insurance cover / financial services / manual record systems / health insurance contract / / MedicalTreatment mechanical ventilation / / Organization Personal Injury Assessment Board / / Person Bord Altranais / / / Position Maternity Consultant / midwife / admitting consultant / appropriate consultant for further treatment / consultant / data controller / General / solicitor / Customer Services Manager / doctor/hospital/consultant / / URL www.aviva.ie/health / /
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Maternity Claim Form – Direct payment of medical charges To make sure that you are not out of pocket, Aviva Health Insurance Ireland Limited and most hospitals have a direct payment agreement that allows your claim to