Submit Your Medical Claim

Basic Information

Member Number

Year Of Birth

Paid Amount (JOD)

Provider Name

Member mobile number

GIG Jordan Form Attachment

Paid Invoices Attachment

I would like the insurance company to transfer the required amount after verifying it to my bank account (bank transfer via IBAN number)

Bank Details

Member Name EN

Nationality

National ID

Bank Name

Bank Branch

IBAN Invalid IBAN Format IBAN should be 30 character based on your bank Example:
JOXXYZXXXXXXXXXXXXXXXXXXXXXXXX

I acknowledge the validity, accuracy and completeness of the information stated above, and I assume full responsibility in the event of incorrectness, inaccuracy and/or insufficiency of any of such information

Verify