Direct Claim Agreement

Patient Details

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Client Details

Name(Required)
Address(Required)

Policy Details

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AGREEMENT WITH VETERINARY SPECIALISTS SCOTLAND

  1. I confirm the insurance details I have provided are for an active policy and that I have read and understood my pet’s insurance policy cover and the information I have entered overleaf is true and correct.
  2. I understand that agreeing to submit a direct claim, Veterinary Specialists Scotland is not confirming that my insurer will pay for my pet’s treatment.
  3. I understand that Veterinary Specialists Scotland will submit a claim to my insurance company on my behalf on the understanding I provide the following, in advance of my appointment:
    • Current policy schedule/certificate
    • Pay the required deposit & Insurance Administration Fee (please see section 4)
    • Provide Veterinary Specialists Scotland with the appropriate method in which to submit an insurance claim.
    I understand that if I do not provide the above then I agree to pay my account in full and a non-direct claim can be processed for me. Please see https://www.vetscotland.co.uk/pet-owners/payment/ for further information.
  4. On the day of my appointment I agree to pay an insurance administration fee of £45.00.
  5. I understand that the above is a deposit that I pay at my first consultation and further payment may be requested for on-going treatment if I pay a percentage of vet fees or exceed my policy limit.
  6. I understand that Veterinary Specialists Scotland allow 8 weeks from the date of my claim submission for my insurance company to settle my claim. If no settlement has been received from my insurance company, I agree that I am fully liable for all sums due to Veterinary Specialists Scotland and will settle the account on request, then if/when the insurance settlement arrives to VSS, I will then be contacted for a refund.
  7. I understand when payment is received by Veterinary Specialists Scotland from the insurance company they will contact me to advise of the debit or credit balance on my account if applicable.

Please note an administration fee of £45.00 is charged for processing your claim. This fee will be charged once per insurance policy year per condition. This is not a charge that insurance companies will cover. You have 7 days to provide a paper claim/link, failure to provide this within the timescale means the balance will be due in full.

Where possible, a policy check may be carried out on your policy.

Consent

Consent(Required)