FSA Business Portal
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Application for Registration on Dhamani Platform
Stakeholder Type
:
*
Select
Insurance Company
Third Party Administrator (TPA)
Private Hospitals
Private Medical Centers & Polyclinics
Private Health Clinics
Private Pharmacies
Software as a System (SAAS) Company
Government Healthcare Institutions
Representative Name
:
*
Email
:
*
Phone
:
*
Insurance Contracts
:
*
Do you have contracts with insurance companies or third party administration companies (TPA)? (Please list their names under Description / Information).
Description / Information
:
*
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